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Can varicectomy be performed if deep veins are occluded?
11st Department of Surgery, Postgraduate Medical School, Budapest, Hungary.
The Journal of Dermatologic Surgery and Oncology
|September 1, 1990
Summary
A new test helps determine if varicose veins are essential when deep veins are blocked. If not essential, removing them can improve circulation without risk.
Area of Science:
- Vascular Surgery
- Phlebology
- Venous Physiology
Background:
- Varicose veins often coexist with deep venous occlusion.
- Surgical decisions for varicectomy in this context are challenging.
- Assessing the role of superficial varicosities in compromised venous systems is crucial.
Purpose of the Study:
- To introduce a novel, simple test for evaluating the necessity of superficial varicosities in patients with deep venous occlusion.
- To assess the sufficiency of subfascial collateral pathways for maintaining venous circulation.
- To guide radical varicectomy decisions in cases of deep venous occlusion.
Main Methods:
- Modification of the classic Perthes test.
- Utilizing a tensiometer cuff at 110 mmHg for 5 minutes.
- Performing the test on walking patients.
Main Results:
- The modified test effectively differentiates essential from non-essential varicosities.
- Negative test results indicate superficial varicosities can be safely removed.
- Radical varicectomy is feasible and beneficial in specific cases of deep venous occlusion.
Conclusions:
- The new test provides a reliable method for managing varicectomy in deep venous occlusion.
- Safe and effective surgical intervention is possible by identifying non-essential varicosities.
- This approach can decrease venous blood loading and improve venous drainage.