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Importance of subfascial collaterals in deep-vein malformations
Imre Bihari1, Geza Tasnádi, Peter Bihari
1National Health Service Center, Cardiovascular Surgical Department, Budapest, Hungary. biharimi@freemail.hu
Background:
The removal of varicose veins in patients with absent or hypoplastic deep veins is contraindicated.
Objective:
To determine a reliable examination for detection of the function of subfascial collaterals.
Methods:
Five crural ulcer limbs with deep-vein aplasia and hypoplasia were operated on. In all cases, a segmental or total deep-vein aplasia (four cases) or hypoplasia (one case) was found in the affected limb by venography. Patients were selected for surgery using a new modification of the Perthes test. Radical varicectomy was performed in every case using stripper and open varicectomy.
Results:
There was no circulatory complication during or after the operation. Crural ulcers healed.
Conclusion:
The agenesia or hypoplasia of a shorter or longer segment of deep veins is not a contraindication to radical varicectomy in every patient.