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Updated: Jul 27, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
Anatomical variations during varicose vein surgery, including saphenous vein entry and transposed vessels, are rare but important. Awareness of these congenital anomalies can minimize surgical complications.
Area of Science:
- Vascular Surgery
- Anatomy
- Medical Research
Background:
- Varicose vein stripping is a common surgical procedure.
- Understanding normal and anomalous anatomy is crucial for surgical success.
Purpose of the Study:
- To report and analyze anatomical variations encountered during saphenous vein stripping.
- To emphasize the clinical significance of congenital anomalies in vascular surgery.
Main Methods:
- Retrospective analysis of 5,050 varicose vein stripping operations.
- Documentation of all deviations from typical anatomy.
Main Results:
- Three significant anatomical deviations were identified in 5,050 operations.
- Variations included unusual saphenous vein entry into the femoral vein (0.04%), transposed femoral vein and artery (0.02%), and presence of a long saphenous artery (0.02%).
- Congenital venous anomalies forming a cluster over the fossa ovalis were also observed.
Conclusions:
- Congenital anatomical variations of the saphenous vein and surrounding structures are infrequent but significant.
- Preoperative consideration of these anomalies can aid in preventing surgical complications during varicose vein treatment.
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