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Case Reports
. 2019 Jan 7:18:e20180077.
doi: 10.1590/1677-5449.007718. eCollection 2019.

CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report

Felipe Puricelli Faccini  1 , Ani Loize Arendt  1 , Raphael Quintana Pereira  2 , Alexandre Roth de Oliveira  3
Affiliations
Case Reports

CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report

Felipe Puricelli Faccini et al. J Vasc Bras. .

Abstract
in English, Portuguese

CHIVA (Cure Conservatrice et Hemodynamique de l'Insufficience Veineuse en Ambulatoire) is a type of operation for varicose veins that avoids destroying the saphenous vein and collaterals. We report a case of CHIVA treatment of two saphenous veins to spare these veins. The patient previously had a normal great saphenous vein stripped in error in a wrong-site surgery, while two saphenous veins that did have reflux were not operated. The patient was symptomatic and we performed a CHIVA operation on the left great and right small saphenous veins. The postoperative period was uneventful and both aesthetic and clinical results were satisfactory. This case illustrates that saphenous-sparing procedures can play an important role in treatment of chronic venous insufficiency. Additionally, most safe surgery protocols do not adequately cover varicose veins operations. Routine use of duplex scanning by the surgical team could prevent problems related to the operation site.

Cure conservatrice et hemodynamique de l’insufficience veineuse en ambulatoire (CHIVA) é um tipo de cirurgia de varizes que evita a destruição da veia safena e colaterais. Este relato apresenta uma paciente que foi submetida a CHIVA em duas safenas para poupá-las. A paciente teve uma safena magna normal retirada em uma cirurgia no sítio cirúrgico errado, as safenas com refluxo foram mantidas, e uma normal foi ressecada. A paciente estava sintomática e foi realizada CHIVA na safena parva direita e na magna esquerda. O pós-operatório transcorreu bem com resultado clínico e estético satisfatório. Esse caso mostra que cirurgias que poupam a safena têm papel importante no tratamento da insuficiência venosa crônica. Além disso, os protocolos de cirurgia segura não cobrem adequadamente as cirurgias de varizes devido a duas safenas possíveis e por serem frequentemente cirurgias bilaterais. A realização de eco-Doppler rotineiramente pela equipe cirúrgica pode prevenir problemas relacionados ao sítio operatório.

Keywords: CHIVA; saphenous vein sparing; venous operation; wrong-site surgery.

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Conflict of interest statement

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

Figures

Figure 1
Figure 1. Preoperative photograph of the right calf.
Figure 2
Figure 2. Postoperative photograph of the right calf.
See this image and copyright information in PMC

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