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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
[About the tributaries of the arch of great saphenous vein. Concerning 40 dissections]
Ass Ndiaye1, Ab Ndiaye, M Diop
1Laboratoire d'Anatomie et d'Organogenèse, Faculté de Médecine, Pharmacie et d'Odontologie, Université Cheikh Anta Diop Dakar, Sénégal. azou.ndiaye@caramail.com
Insights
Anatomical variations in the great saphenous vein tributaries are common. Understanding these variations is crucial for preventing post-operative recurrences in varicose vein surgery.
Area of Science:
- Anatomy
- Vascular Surgery
- Medical Science
Context:
- The great saphenous vein (GSV) is a major superficial vein in the leg.
- Numerous tributaries from the abdominal wall, genitalia, and pelvic limbs drain into the GSV arch.
- Variations in these tributaries can complicate surgical interventions for varicose veins.
Purpose:
- To investigate the anatomical variations of tributaries of the great saphenous vein arch.
- To document the frequency and patterns of anastomosis of these variations.
- To highlight the clinical significance of these variations in preventing surgical recurrence.
Summary:
- Dissection of 40 fresh Black African inguinofemoral regions revealed significant variations in GSV tributaries.
- Observed variations included conventional types, abdominal common veins, genital common veins, and anterior/posterior saphenous veins.
- The study identified specific frequencies for each variation, emphasizing their prevalence.
Impact:
- Accurate knowledge of GSV tributary variations is essential for surgeons.
- Understanding these variations can significantly reduce the incidence of post-operative recurrences in varicose vein treatment.
- This research contributes to improved surgical planning and patient outcomes in vascular surgery.
Abstract:
The arch of the great saphenous vein cross receives numerous tributaries from the abdominal wall, male external genitalia and pelvic limbs. These collaterals present many variations relating to their number and mode of anastomosis. Their misappreciation may lead to post operative recurrences after surgical treatment of varices. For a last study of these variations, we dissected 40 inguinofemoral regions in fresh black african corpes. The conventional type in a "vein strar" shape was present in 4 cases. An abdominal common vein produced through the merging of the superficial epigastric and superficial circumflex iliac veins was found in 5 cases. A genital common vein summarising the external pudendal veins was present in 19 cases. In 8 cases the abdominal and genital common vein was simultaneously present. An anterior saphenous vein was found in 15 cases, and a posterior saphenous vein in 5 cases. These results, confirm the importance of anatomic variations. Their knowledge is necessary to avoid recurrences after surgery of varicose veins.
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