Intermediate Stage Report about Change of Deep Venous Valve Function after Superficial Vein Surgery of Lower Extremity_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GE Xiaohu , REN Hao , LI Xuesong , SAI Limu

Department of Vascular Surgery, People’s Hospital of Xinjiang Urgur Autonomous Region, Urumchi 830001, China;

Corresponding?author：

Keywords：

Deep venous valve function of lower extremity; Varicose veins; Operation; Intermediate stage result; Endovenous laser treatment of the great saphenous vein

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Objective To evaluate improved effect for deep venous valve function after superficial vein surgery of lower extremity in the intermediate stage.
Methods Totally 43 patients (55 limbs) with varicose veins of lower extremity were enrolled to accept surgical management of vein systems in our department from March 2006 to October 2006. All patients were respectively followed up after 6 months and 4 years about the changes of deep venous valve function with color Doppler ultrasonography.
Results Thirty-nine patients’ deep venous valve function kept well up to now, and there was no significant difference between the two results. Four patients without proximal saphenous vein ligation recurred, and there was reflux in deep venous.
Conclusion Endovenous laser treatment and ablation of varicose veins of lower extremity with deep venous insufficiency could improve deep venous valve function effectively. Proximal great saphenous vein ligation is important for successful operation.

Citation： GE Xiaohu,REN Hao,LI Xuesong,SAI Limu. Intermediate Stage Report about Change of Deep Venous Valve Function after Superficial Vein Surgery of Lower Extremity. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(7): 649-652. doi: Copy

1.	ColeridgeSmith PD. Leg ulcer treatment [J]. J Vasc Surg, 2009; 49(3): 804808.
2.	Wang SM, Hu ZJ, Li SQ, et al. Effect of external valvuloplasty of the deep vein in the treatment of chronic venous insufficiency of the lower extremity [J]. J Vasc Surg, 2006; 44(6): 12961300.
3.	Dunn CW, Kabnick LS, Merchant RF, et al. Endovascular radiofrequency obliteration using 90 degrees C for treatment of great saphenous vein [J]. Ann Vasc Surg, 2006; 20(5): 625629.
4.	Mizaushev BA, Kosenkov AN, Aslanov AD, et al. Surgical treatment of patients with chronic lower limb venous insufficiency and trophic disorders [J]. Khirurgiia (Mosk), 2005; (10): 2427.
5.	Qiao T, Liu C, Ran F. The impact of gastrocnemius muscle cell changes in chronic venous insufficiency [J]. Eur J Vasc Endovasc Surg, 2005; 30(4): 430436.
6.	Tawes RL, Barron ML, Coello AA, et al. Optimal therapy for advanced chronic venous insufficiency [J]. J Vasc Surg, 2003; 37(3): 545551.
7.	Lfgren KA. Surgical management of chronic venous insufficiency [J]. Acta Chir Scand Suppl, 1988; 544: 6268.
8.	任昊, 戈小虎, 劉杰, 等. 下肢淺靜脈手術后深靜脈瓣膜功能的變化 [J]. 國際外科學雜志, 2007; 34(12): 809812.
9.	Kistner RL. Primary venous valve incompetence of the leg [J]. Am J Surg, 1980; 140(2): 218224.
10.	Rosales A, Slagsvold CE, Kroese AJ, et al. External venous valve plasty (EVVP) in patients with primary chronic venous insufficiency (PCVI) [J]. Eur J Vasc Endovasc Surg, 2006; 32(5): 570576.
11.	Lane RJ, Cuzzilla ML, McMahon CG. Intermediate to longterm results of repairing incompetent multiple deep venous valves using external valvular stenting [J]. ANZ J Surg, 2003; 73(5): 267274.
12.	Perrin M, Hiltbrand B, Bayon JM. Results of valvuloplasty in patients presenting deep venous insufficiency and recurring ulceration [J]. Ann Vasc Surg, 1999; 13(5): 524532.
13.	Dunn RM, Fudem GM, Walton RL, et al. Free flap valvular transplantation for refractory venous ulceration [J]. J Vasc Surg, 1994; 19(3): 525531.
14.	Cheatle TR, Perrin M. Venous valve repair: early results in fiftytwo cases [J]. J Vasc Surg, 1994; 19(3): 404413.
15.	王志剛, 雷澤華, 余慎林. 靜脈腔內激光和傳統手術治療下肢靜脈曲張的近期療效比較 [J]. 中國普外基礎與臨床雜志, 2010; 17(4): 372375.
16.	楊國凱, 楊鏞, 何曉明, 等. 射頻閉合聯合動力旋切治療下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2009; 16(1): 6063.
17.	陳開, 劉崇清, 戴毅, 等. 應用微創刨吸術治療下肢靜脈曲張52例報告 [J]. 中國普外基礎與臨床雜志, 2005; 12(5): 515516.
18.	Bergan JJ. Venous insufficiency and perforating veins [J]. Br J Surg, 1998; 85(6): 721722.
19.	Zamboni P, Cisno C, Marchetti F, et al. Reflux elimination without any ablation or disconnection of the saphenous vein. A haemodynamic model for venous surgery [J]. Eur J Vasc Endovasc Surg, 2001; 21(4): 361369.
20.	Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
21.	Puggioni A, Lurie F, Kistner RL, et al. How often is deep venous reflux eliminated after saphenous vein ablation? [J]. J Vasc Surg, 2003; 38(3): 517521.
22.	Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
23.	Sales CM, Bilof ML, Petrillo KA, et al. Correction of lower extremity venous incompetence by ablation of superficial venous reflux [J]. Ann Vasc Surg, 1996; 10(2): 186189.
24.	Ting AC, Cheng SW, Wu LL, et al. Changes in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency [J]. World J Surg, 2001; 25(2): 122125.
25.	任昊, 戈小虎, 劉杰, 等. 下肢靜脈曲張行淺靜脈手術對深靜脈瓣膜功能影響的研究 [J]. 中國普通外科雜志, 2008; 17(12): 12111216.
26.	王磊, 侯寶忠, 于威, 等. 外科治療原發性下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2007; 14(5): 605607.
27.	祿韶英, 祁光裕, 孫學軍, 等. 血管腔內激光治療下肢淺靜脈曲張的初步觀察 [J]. 中國普外基礎與臨床雜志, 2004; 11(5): 1.

1. ColeridgeSmith PD. Leg ulcer treatment [J]. J Vasc Surg, 2009; 49(3): 804808.
2. Wang SM, Hu ZJ, Li SQ, et al. Effect of external valvuloplasty of the deep vein in the treatment of chronic venous insufficiency of the lower extremity [J]. J Vasc Surg, 2006; 44(6): 12961300.
3. Dunn CW, Kabnick LS, Merchant RF, et al. Endovascular radiofrequency obliteration using 90 degrees C for treatment of great saphenous vein [J]. Ann Vasc Surg, 2006; 20(5): 625629.
4. Mizaushev BA, Kosenkov AN, Aslanov AD, et al. Surgical treatment of patients with chronic lower limb venous insufficiency and trophic disorders [J]. Khirurgiia (Mosk), 2005; (10): 2427.
5. Qiao T, Liu C, Ran F. The impact of gastrocnemius muscle cell changes in chronic venous insufficiency [J]. Eur J Vasc Endovasc Surg, 2005; 30(4): 430436.
6. Tawes RL, Barron ML, Coello AA, et al. Optimal therapy for advanced chronic venous insufficiency [J]. J Vasc Surg, 2003; 37(3): 545551.
7. Lfgren KA. Surgical management of chronic venous insufficiency [J]. Acta Chir Scand Suppl, 1988; 544: 6268.
8. 任昊, 戈小虎, 劉杰, 等. 下肢淺靜脈手術后深靜脈瓣膜功能的變化 [J]. 國際外科學雜志, 2007; 34(12): 809812.
9. Kistner RL. Primary venous valve incompetence of the leg [J]. Am J Surg, 1980; 140(2): 218224.
10. Rosales A, Slagsvold CE, Kroese AJ, et al. External venous valve plasty (EVVP) in patients with primary chronic venous insufficiency (PCVI) [J]. Eur J Vasc Endovasc Surg, 2006; 32(5): 570576.
11. Lane RJ, Cuzzilla ML, McMahon CG. Intermediate to longterm results of repairing incompetent multiple deep venous valves using external valvular stenting [J]. ANZ J Surg, 2003; 73(5): 267274.
12. Perrin M, Hiltbrand B, Bayon JM. Results of valvuloplasty in patients presenting deep venous insufficiency and recurring ulceration [J]. Ann Vasc Surg, 1999; 13(5): 524532.
13. Dunn RM, Fudem GM, Walton RL, et al. Free flap valvular transplantation for refractory venous ulceration [J]. J Vasc Surg, 1994; 19(3): 525531.
14. Cheatle TR, Perrin M. Venous valve repair: early results in fiftytwo cases [J]. J Vasc Surg, 1994; 19(3): 404413.
15. 王志剛, 雷澤華, 余慎林. 靜脈腔內激光和傳統手術治療下肢靜脈曲張的近期療效比較 [J]. 中國普外基礎與臨床雜志, 2010; 17(4): 372375.
16. 楊國凱, 楊鏞, 何曉明, 等. 射頻閉合聯合動力旋切治療下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2009; 16(1): 6063.
17. 陳開, 劉崇清, 戴毅, 等. 應用微創刨吸術治療下肢靜脈曲張52例報告 [J]. 中國普外基礎與臨床雜志, 2005; 12(5): 515516.
18. Bergan JJ. Venous insufficiency and perforating veins [J]. Br J Surg, 1998; 85(6): 721722.
19. Zamboni P, Cisno C, Marchetti F, et al. Reflux elimination without any ablation or disconnection of the saphenous vein. A haemodynamic model for venous surgery [J]. Eur J Vasc Endovasc Surg, 2001; 21(4): 361369.
20. Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
21. Puggioni A, Lurie F, Kistner RL, et al. How often is deep venous reflux eliminated after saphenous vein ablation? [J]. J Vasc Surg, 2003; 38(3): 517521.
22. Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
23. Sales CM, Bilof ML, Petrillo KA, et al. Correction of lower extremity venous incompetence by ablation of superficial venous reflux [J]. Ann Vasc Surg, 1996; 10(2): 186189.
24. Ting AC, Cheng SW, Wu LL, et al. Changes in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency [J]. World J Surg, 2001; 25(2): 122125.
25. 任昊, 戈小虎, 劉杰, 等. 下肢靜脈曲張行淺靜脈手術對深靜脈瓣膜功能影響的研究 [J]. 中國普通外科雜志, 2008; 17(12): 12111216.
26. 王磊, 侯寶忠, 于威, 等. 外科治療原發性下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2007; 14(5): 605607.
27. 祿韶英, 祁光裕, 孫學軍, 等. 血管腔內激光治療下肢淺靜脈曲張的初步觀察 [J]. 中國普外基礎與臨床雜志, 2004; 11(5): 1.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Intermediate Stage Report about Change of Deep Venous Valve Function after Superficial Vein Surgery of Lower Extremity

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