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Revista Mexicana de Angiología

Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular
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2010, Number 3

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Rev Mex Angiol 2010; 38 (3)

La safenectomía mayor con flebectomías produce cambios en el flujo de venas perforantes incompetentes

González RMÁ, Flores EMH, Serrano LJA, Sánchez NNE, Mijangos WF, Carrasco GH
Full text How to cite this article

Language: Spanish
References: 9
Page: 96-101
PDF size: 338.81 Kb.


Key words:

Perforating veins, reflux, diameter.

ABSTRACT

Objetive: To demonstrate that the patients with perforator vein reflux, need surgery for its correction. Background: Venous disease chronic represents a health problem public It is a disease of evolution chronic with a high prevalence (35%) and with important socialists.
Method: Longitudinal, prospective. We included 65 patients from April 2007 to February 2009. Variables were recorded demography, clinic, age, sex, reflux in superficial system, number, grouper, segment and diameter perforating veins. Doppler was performed limb venous plex preoperative and postoperative. The system used was SPSS, the test was paired T, relative risk was determined, as Fisher’s exact test.
Results: We evaluated 65 patients with insufficient perforating veins associated with superficial venous reflux, postoperative de saphenectomy greater with or without phlebectomy, 48 female (73.8%) 17 males (26.2%) average age of 42.2, use the classification No APEC. We determined the diameters perforating veins preoperative range minimum of 2.60 mm and maximum of 3.60, a range postoperative and a minimum of 2.60 mm maximum of 3.30. With the test exact Stoic Fisher the value is obtained exact significance of 0.017.
Conclusions: Our results are similar to those reported in the literature as for that the inadequacy of veins perforates associates with more frequency to superficial reflux that to alterations of the deep veined system.


REFERENCES

  1. Rutherford. Cirugía Vascular. 6a Ed. España: Editorial Elsevier; 2006. Cap. 146, 154, 155, 158.

  2. Medicine nov 2004; 25: 2764.

  3. Delis KT, et.al. Prevalence and distribution of incompetent perforating veins in chronic venous insufficiency. J Vasc Surg 1998; 28(5): 815-25.

  4. Myers KA, et al. Duplex ultrasonography scanning for chronic venous disease: Patterns of venous reflux. J Vasc Surg 1995; 21(4): 605-12.

  5. Wesley PS, et al. Most incompetent calf perforating veins are found in association wi6. Wesley PS, et al. The relationship between the number, competence and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. J Vasc Surg 2000; 32(1): 138-43.

  6. Wesley PS, et al. The relationship between the number, competence and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. J Vasc Surg 2000; 32(1): 138-43.

  7. André M, Van Rij, et al. A prospective study of the fate of venous leg perforators after varicose vein surgery. J Vasc Surg 2005; 42(6): 1156-62.

  8. Lena Blomgren MD, et.al. Changes in superficial and perforating vein reflux after varicose vein surgery. J Vasc Surg 2005; 42(2): 315-20.

  9. Delis KT, et al. Perforator vein incompetence in chronic venous disease: A multivariate regression analysis model. J Vasc Surg 2004; 40(4): 626-33.th superficial venous reflux. J Vasc Surg 2001; 34(5): 774-8.




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Rev Mex Angiol. 2010;38