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Updated: Aug 14, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
[Surgical treatment of chronic venous insufficiency]
Abstract:
Results of surgical treatment of 700 patients with chronic venous insufficiency of the lower extremities are presented. Subfascial endoscopic ligature of perforating veins and catheteric truncal sclerotherapy of v. saphena magna was applied by the authors side by side with traditional operations--venectomy and ligature of perforating veins. In the patients, treated using miniinvasive methods, the lowest frequency of purulent postoperative complications, the veins varicosis and the trophic ulcers recurrence was registered. Good immediate and late follow-up results achieved are due to meticulous selection of patients depending on the venous insufficiency stage and the deep venous system passability. It is necessary to proceed with further investigation of possibilities of the perforating veins endoscopic subfascial ligature and of catheteric truncal sclerotherapy performance in other stages of the disease.
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