Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2012 , Vol 21 , Issue 2
İzole Büyük Safen Ven Yetmezliğinde Eksternal Valvüloplasti Uygulaması ve Uzun Dönem Sonuçlarımız
Atilla SARAÇ, Süreyya TALAY, Mehmet ÖZKAN
1Kalp ve Damar Cerrahisi AD, Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Samsun
2Kalp ve Damar Cerrahisi Kliniği, Samsun Medical Park Hastanesi, Samsun
Objective: The aim of this study is to evaluate the external valvuloplasty as a surgical technique for isolated great saphenous vein (GSV) insufficiency. Methods: External valvuloplasty (EVP) was applied in 83 patients with isolated GSV insufficiency. EVPs were followed with venous duplex ultrasound for valvular insufficiency, existence of venous reflux and venous thrombosis formation in saphenofemoral area by the first postoperative day/month twice and annualy afterwards, in a mean postoperative period between 28.4±22.3 (1 to 63) months. Results: A complete clinical and radiological healing was observed in 51 patients (61.4%). In the rest of the study group, we applied further supportive medications for patient symptoms in 13 cases (15.2%). In 12 patients (14.4%), we were obligated for a secondary surgical treatment with VSM high ligation/stripping and multiple varicous vein excisions due to severe and progressive VSM valvular insufficiency and clinically persistance of symptoms. Conclusion: EVP, is an effective surgical technique for selected cases of isolated GSV insufficiencies without extensive varicous dilatations. This alternative method can be safely administered instead of high ligation and conventional GSV stripping. Keywords : Isolated great saphenous vein insufficiency; external valvuloplasty
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