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Case Reports
. 2017 Oct-Dec;16(4):335-338.
doi: 10.1590/1677-5449.004217.

Tratamento da recidiva da crossa da veia safena magna por acesso proximal

[Article in Portuguese]
Paula Dayana Matkovski  1 , Jorge Oliveira da Rocha Filho  2 , Arthur de Souza Rocha  3 , André Laurindo Cabral  2 , Caio Augusto Knihs  2 , João Marcelo Gonçalves da Rocha Loures  2 , Fabrício Martins Zucco  2 , Patrick Cardoso Candemil  2
Affiliations
Case Reports

Tratamento da recidiva da crossa da veia safena magna por acesso proximal

[Article in Portuguese]
Paula Dayana Matkovski et al. J Vasc Bras. 2017 Oct-Dec.

Abstract
in English, Portuguese

Abstract: The most common cause of recurrence of varicose veins in the lower limbs is inadequate dissection of the internal saphenous arch, with ligature that is not flush to the saphenofemoral junction. Direct access to the scar tissue of previous surgery should be avoided to the maximum because of the high risk of bleeding and of lymphatic injuries. Access proximal to the scar tissue, initially at the common femoral vein, above the saphenofemoral junction, continuing caudally to the saphenous arch, proved to be an effective and relatively simple technique when compared to medial, lateral and direct approaches.

A maior causa de recidiva das varizes dos membros inferiores é a inadequada dissecção da crossa da safena interna, com a ligadura não rente da junção safenofemoral. O acesso direto ao tecido cicatricial de uma cirurgia prévia deve ser evitado ao máximo pelo elevado risco de sangramento e de lesões linfáticas. O acesso proximal ao tecido cicatricial, abordando inicialmente a veia femoral comum acima da junção safenofemoral, seguindo-a em direção caudal até a crossa da safena, mostrou-se uma técnica eficiente e relativamente simples quando comparada às abordagens medial, lateral e direta.

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Conflict of interest statement

Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.

Figures

Figura 1
Figura 1. Incisão oblíqua acima do ligamento longitudinal.
Figura 2
Figura 2. Identificação da crossa da safena e da veia femoral comum.
Figura 3
Figura 3. Isolamento da crossa da safena.
Figura 4
Figura 4. Ligadura da crossa da safena.
Figure 1
Figure 1. Oblique incision above the longitudinal ligament.
Figure 2
Figure 2. Identification of the saphenous arch and the common femoral vein.
Figure 3
Figure 3. Isolation of the saphenous arch.
Figure 4
Figure 4. Ligature of the saphenous arch.
See this image and copyright information in PMC

References

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