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Sparing the Great Saphenous Vein (GSV) in varicose vein treatment is feasible with basic ultrasound skills. A simplified approach using limited phlebectomy and junction interruption offers a conservative option.

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Area of Science:

  • Vascular Surgery
  • Phlebology
  • Medical Ultrasound

Background:

  • Great Saphenous Vein (GSV) sparing offers potential for arterial substitution and reduced recurrence in varicose vein treatment.
  • Conservative surgery of varicose veins (CHIVA) involves limited, strategic vein interruptions but requires specialized expertise.
  • Limited diffusion of CHIVA is attributed to the high level of Duplex ultrasound proficiency needed for patient selection.

Purpose of the Study:

  • To evaluate literature on saphenous vein sparing techniques.
  • To assess the feasibility of Great Saphenous Vein (GSV) conservation in varicose vein treatment.
  • To simplify the application of conservative varicose vein surgery.

Main Methods:

  • Literature review focusing on saphenous vein sparing.
  • Specific attention given to the Conservative होम्योपैathic Intervention of Varicose Veins (CHIVA) method.
  • Analysis of ultrasound parameters required for GSV conservation.

Main Results:

  • Basic ultrasound expertise is adequate for performing GSV conservation.
  • Key parameters for GSV conservation include junction competence and re-entry perforator location.
  • The need for advanced Duplex expertise for CHIVA may be overestimated.

Conclusions:

  • Saphenous vein conservative treatment is achievable with simplified techniques.
  • Limited phlebectomy combined with junction interruption (crossotomy) presents a viable conservative solution.
  • This approach aims to improve the accessibility and application of saphenous vein sparing surgery.