Evolution de la maladie variqueuse
Évolution de la maladie variqueuse
Variscose vein classification by venous duplex mappings
Varicose vein disease is a desease of saphenous tributary first before it becomes a disease of the trunk.
Does precocious ablation of the refluxing saphenous tributary preserve the saphenous function for longer periods ?
XII World Congress. Union Internationale de Phlébologie. LONDON 1995.
Reflux of the short saphenous vein
Reflux of short saphenous vein was found in 10% of the cases.
Reflux of an popliteal-area vein
Reflux of a popliteal area vein was found in 0.8% of the cases.
Reflux of a saphenous tributary
solated insufficiency of only a tributary of the great saphenous vein with a normal function of the trunk was found in 9.7% of cases. 50% of these hemodynamic desorders where operated on at 33.
Treatment consisted on only phlebectomy of the tributary.The previous dilation of the upper part of the trunk generaly reduced after the operation.
Reflux of an isolated varicose vein
Isolated varicose vein without connection with the great saphenous vein or the short saphenous vein was found in 10% of the cases and 50% of these were operated on at 36.
Partial reflux of a saphenous femoral junction
Partial reflux of the saphenofemoral junction could be called insufficiency of only the first lateral tributary of the great saphenous vein.
The reflux was feed by the normal flow of the great saphenous vein or by the insufficiency of the saphenofemoral junction ; in that case the last normal valve of the trunk protect him against the reflux.
Isolated resection of the first tributary could be sufficient for the treatment.
This case was found in 3.4% of the cases and 50% of these were operated on at 40.
Partial reflux of the great saphenous vein
Partial insufficiency of the great saphenous trunk was found in 10% of the cases.This hemodynamic disorder concerned either the high part of the trunk and stopped on a tributary, either the mid-part of the trunk feeded by puddental veins or thigh perforators, or the lower part of the trunk feeded by a mid-thigh perforator.
Collected in 10% of the cases, 50% of these cases were found at 42.
Short reflux of the great saphenous vein
Short insufficiency of the great saphenous vein from the groin to bellow the knee was found in 14% of the cases and 50% of these cases were found at 42.5 years.
The treatment is named short stripping of the great saphenous vein.
Long reflux of the great saphenous vein
Complete insufficiency of the great saphenous vein was found in 48% of the cases.
Among these, 50% of the cases were collected at 44 years.
It corresponds to the long stripping of the great saphenous vein.