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Titolo:
Reoperation for recurrent saphenofemoral incompetence: a prospective randomised trial using a reflected flap of pectineus fascia
Autore:
Gibbs, PJ; Foy, DMA; Darke, SG;
Indirizzi:
Royal Bournemouth Hosp, Dept Surg, Bournemouth BH7 7DW, Dorset, England Royal Bournemouth Hosp Bournemouth Dorset England BH7 7DW Dorset, England
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 6, volume: 18, anno: 1999,
pagine: 494 - 498
SICI:
1078-5884(199912)18:6<494:RFRSIA>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
LONG SAPHENOUS-VEIN; VARICOSE-VEINS; NEOVASCULARIZATION; DUPLEX; DOPPLER; VARICOGRAPHY; PREVENTION; JUNCTION; LIGATION; SURGERY;
Keywords:
recurrent varicose veins; pectineus fascial flap; neovascularisation; duplex ultrasonography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Darke, SG Royal Bournemouth Hosp, Dept Surg, Castle Lane E, Bournemouth BH7 7DW, Dorset, England Royal Bournemouth Hosp Castle Lane E Bournemouth Dorset England BH7 7DW
Citazione:
P.J. Gibbs et al., "Reoperation for recurrent saphenofemoral incompetence: a prospective randomised trial using a reflected flap of pectineus fascia", EUR J VAS E, 18(6), 1999, pp. 494-498

Abstract

Objective and design: in 1978 Sheppard described using a flap of pectineusfascia in an attempt to reduce the further development of neovascularised veins at the saphenofemoral junction. The perceived benefits of this manoeuvre have not been tested by a prospective randomised trial. Materials and methods: consecutive patients with symptomatic recurrent varicose veins referred to a single consultant were examined for evidence of further reflux from the saphenofemoral junction. This was subsequently confirmed in forty limbs (thirty-seven patients) by descending venography. All had features of a neovascularised segment. These patients were treated by complete exposure and ligation of the recurrences arising from the common femoral vein, with or without the placement of a flap of pectineus fascia (prospectively randomised). The patients were assessed a minimum of eighteen months later by both clinical examination and duplex ultrasound scanning. Results: six patients were lost to follow-up. This left seventeen limbs remaining in each half of the study. The characteristics in each group were broadly matched.[GRAPHICS]Conclusions: this study failed to demonstrate any apparent benefit from the application of a flap of pectineus fascia. Most patients showed evidence of re-recurrence arising from the common femoral vein.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 05:19:35