Vol 63, No 4 (2004)
Original article
Submitted: 2012-02-06
Published online: 2004-09-16
Types of outlet of the major saphenous vein tributaries in patients with chronic vein insufficiency of the lower limbs
Konrad Janowski, Mirosław Topol
Folia Morphol 2004;63(4):473-479.
Vol 63, No 4 (2004)
ORIGINAL ARTICLES
Submitted: 2012-02-06
Published online: 2004-09-16
Abstract
Chronic vein insufficiency (CVI) is a disease which, when it develops, leads to
varicose veins of the lower limbs. As approximately 25% to 50% of people suffer
from it, it should be recognised as a public disease. The treatment of chronic vein
insufficiency is based on a surgical approach. The aim of the operation is to remove
(strip) the insufficient major saphenous vein (MSV), the main cause of the
disease. The major saphenous vein drains into the femoral vein and forms the
sapheno-femoral junction, which is located in the hiatus saphenous within the
femoral triangle. We conducted 94 varicose vein operations by the Babcock method
on patients suffering from chronic vein insufficiency. This surgical treatment was
performed in "Therapy", a private clinic for peripheral vessel disease. We operated
on 52 left lower limbs and 42 right lower limbs. The patients were qualified for
the operation procedure after physical examination and Doppler ultrasonography
imaging. We identified 5 types of major saphenous vein tributary drainage. The
most common was Type I, in which there were 3 tributaries draining directly into
the major saphenous vein. This type consisted of 45 cases (47.87%). We distinguished
here 3 modifications. In Type II, however, there were 4 direct tributaries
that drained into the major saphenous vein in 23 cases (24.46%). In this group of
patients also 3 modifications were distinguished. Type III occurred in 14 cases
(14.89%). We identified here 2 direct tributaries that drained into the saphenous
vein and divided this type into 2 modifications. Type IV occurred in 8 cases (8.51%).
Here we found 5 or 6 direct tributaries depending on the number of the external
pudendal veins. Type V turned out to be very rare, occurring in only 4 cases
(4.25%). Among all the types mentioned a thin tributary 1–2 mm wide was found
in 10 cases (10.63%). This ran from under the fascia cribrosa into the saphenofemoral
junction in the hiatus saphenous. This may be one of the causes of the
recurrences of chronic vein insufficiency. There is also the possibility that a tributary
will be overlooked or ignored during the operation, particularly when Type IV
appears with 5 or 6 direct collaterals.
Abstract
Chronic vein insufficiency (CVI) is a disease which, when it develops, leads to
varicose veins of the lower limbs. As approximately 25% to 50% of people suffer
from it, it should be recognised as a public disease. The treatment of chronic vein
insufficiency is based on a surgical approach. The aim of the operation is to remove
(strip) the insufficient major saphenous vein (MSV), the main cause of the
disease. The major saphenous vein drains into the femoral vein and forms the
sapheno-femoral junction, which is located in the hiatus saphenous within the
femoral triangle. We conducted 94 varicose vein operations by the Babcock method
on patients suffering from chronic vein insufficiency. This surgical treatment was
performed in "Therapy", a private clinic for peripheral vessel disease. We operated
on 52 left lower limbs and 42 right lower limbs. The patients were qualified for
the operation procedure after physical examination and Doppler ultrasonography
imaging. We identified 5 types of major saphenous vein tributary drainage. The
most common was Type I, in which there were 3 tributaries draining directly into
the major saphenous vein. This type consisted of 45 cases (47.87%). We distinguished
here 3 modifications. In Type II, however, there were 4 direct tributaries
that drained into the major saphenous vein in 23 cases (24.46%). In this group of
patients also 3 modifications were distinguished. Type III occurred in 14 cases
(14.89%). We identified here 2 direct tributaries that drained into the saphenous
vein and divided this type into 2 modifications. Type IV occurred in 8 cases (8.51%).
Here we found 5 or 6 direct tributaries depending on the number of the external
pudendal veins. Type V turned out to be very rare, occurring in only 4 cases
(4.25%). Among all the types mentioned a thin tributary 1–2 mm wide was found
in 10 cases (10.63%). This ran from under the fascia cribrosa into the saphenofemoral
junction in the hiatus saphenous. This may be one of the causes of the
recurrences of chronic vein insufficiency. There is also the possibility that a tributary
will be overlooked or ignored during the operation, particularly when Type IV
appears with 5 or 6 direct collaterals.
Keywords
lower limbs; chronic vein insufficiency; major saphenous vein tributaries
Title
Types of outlet of the major saphenous vein tributaries in patients with chronic vein insufficiency of the lower limbs
Journal
Folia Morphologica
Issue
Vol 63, No 4 (2004)
Article type
Original article
Pages
473-479
Published online
2004-09-16
Page views
492
Article views/downloads
1550
Bibliographic record
Folia Morphol 2004;63(4):473-479.
Keywords
lower limbs
chronic vein insufficiency
major saphenous vein tributaries
Authors
Konrad Janowski
Mirosław Topol