The anatomical variations that occur in the great saphenous vein encounter during surgery -A study done at a tertiary care teaching hospital

Authors : Rashmi R Bhat, Rashmi R Bhat, Amar D N, Amar D N, Satheesha K S, Satheesha K S

DOI : 10.18231/j.ijashnb.2019.023

Volume : 5

Issue : 3

Year : 2019

Page No : 86-88

Introduction and Objective: Recurrence is one of the most common complication that occurs following varicose vein surgery and even with the best of the surgeon and techniques followed, recurrences are common. The most common cause for recurrence is the unidentified duplication of the great saphenous vein mistaking the branch of the great saphenous vein that mimics the main vein often when there is an atom equal variation the complete cure cannot be given to patients with varicose veins at least it is possible to postpone the recurrence by adequately treating the varicose veins. The recent trend in the management of varicose veins have change drastically with an increase in the use of minimally invasive techniques like laser, Venus and RFA Most of the anatomical variations occur in the region of sapheno-femoral junction. In view of all the above said we decided to study anatomical variations that are encountered during surgery for varicose veins and their significance in management of varicose veins.
Materials and Methods: The study was a non-randomised prospective study that was done on 20 consenting patients format a predefined criteria and posted for varicose vein surgery. The study was conducted during the time period of September 2017 to August 2019 on all consenting patients who made a predefined criteria.
Results and Observations: In the present study the mean age was 50.3 years, we had 5 males (40%) and 15 females (60%), left side in 6(30%), bilateral in 4(20%)right side in 10(50%). he most common indication for varicose vein surgery was venous claudication 15(80%). In the present study we had a mean BMI of 20.3kg/m2. Type 1(40%), there was a triangular saphenous compartment containing the gsv and its tributaries. Type 2(10%), there was a fascial canal that contained gvs. Type 3(50%), there was a small fascial saphenous compartment with variable boundaries that contained the great saphenous vein and 1 or 2 of

Keywords: Varicose veins, Great saphenous vein. Anatomy.


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