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08:05
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
Anomalies encountered during varicose vein surgery
Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1978
Summary
During varicose vein stripping, surgeons encountered rare anatomical variations including unusual long saphenous vein entry into the femoral vein, transposed femoral vessels, and a long saphenous artery. Awareness of these congenital anomalies is crucial for surgical success.
Area of Science:
- Vascular Surgery
- Human Anatomy
- Congenital Anomalies
Background:
- Varicose vein stripping is a common surgical procedure.
- Understanding normal and variant anatomy is critical for surgical safety.
- Congenital anatomical variations can pose challenges during surgery.
Purpose of the Study:
- To report and characterize rare anatomical deviations encountered during saphenofemoral stripping operations.
- To highlight the clinical significance of recognizing these anomalies.
Main Methods:
- Retrospective analysis of 5,050 varicose vein stripping operations.
- Documentation of all observed anatomical variations from standard anatomy.
Main Results:
- Three distinct anatomical deviations were identified in 5,050 cases.
- Unusual long saphenous vein (LSV) termination into the femoral vein (0.04%).
- Transposed femoral artery and vein near the fossa ovalis (0.02%).
- Presence of a long saphenous artery originating from the femoral artery (0.02%).
- Observed venous clusters, often congenital anomalies, overlying the fossa ovalis.
Conclusions:
- Rare congenital anatomical variations of the saphenofemoral junction and associated vessels occur.
- Recognition of these anomalies is essential to prevent surgical complications.
- Preoperative awareness and intraoperative vigilance are key to managing these variations effectively.
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