2005, Number 2
Clinicosurgical correlation of lower limbs venous mapping in primary-varices-bearer patients
Pérez NA, Jiménez LJA, Ramos LCR, Hurtado RC, Llamas MF, Brachet IJO
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Language: Spanish
References: 9
Page: 58-61
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ABSTRACT
Objective: To show the usefulness of ultrasound Doppler of continuous wave in valvular insufficiency of varicose veins and its correlation with surgical findings in venous surgery.Patients and methods: Patients with primary varicose veins that came between the period from August 1st to the 31st of this year. We explored them with ultrasound Doppler of 5 MHz over both saphena veins and the perforans venous system to identify the sites of valvular insufficiency and later to compare with results that we obtained in the surgery room.
Results: We operated 19 patients, 16 female and three male (84 and 16% respectively). The age rank was varied: from 36 to 76 years among women, and from 30 to 63 years among men; the average age was 48 years. We operated 20 limbs, 17 corresponding to left side and three to right side. We observed a clinicosurgical concordance of 100% in both saphena venous system and in the Kockett system, but the concordance falls into a range between 33% and 50% for perforate systems of Dodd and Boyd, respectively.
Conclusions: We observed that the correlation decreased in the perforans systems of the knee region. This may occur because this area is the confluence of superficial and deep vein systems; in this group of patients there is a higher recurrence of relapse of the disease.
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