Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/10041
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Type: Journal article
Title: A prospective randomized trial evaluating the haemodynamic role of incompetent calf perforating veins
Author: Fitridge, R.
Dunlop, C.
Raptis, S.
Thompson, M.
Leppard, P.
Quigley, F.
Citation: Australian and New Zealand Journal of Surgery, 1999; 69(3):214-216
Publisher: BLACKWELL PUBLISHING ASIA
Issue Date: 1999
ISSN: 0004-8682
1445-2197
Statement of
Responsibility: 
Fitridge, R. A. ; Dunlop, C. ; Raptis, S. ; Thompson, M. M. ; Leppard, P. ; Quigley, F.
Abstract: <h4>Aim</h4>This study was undertaken to determine the haemodynamic effect of incompetent calf perforating veins in patients with uncomplicated varicose veins and long saphenous incompetence.<h4>Methods</h4>Thirty-eight limbs from 35 patients were studied. All patients had uncomplicated varicose veins with both long saphenous and calf perforator incompetence on duplex ultrasonography. Patients were randomized to have incompetent calf perforators ligated or left intact, in addition to saphenofemoral junction ligation, strip of long saphenous vein to knee and stab avulsion of any visible varicosities in the leg. Patients were assessed with air plethysmography pre-operatively and 3 months postoperatively.<h4>Results</h4>Superficial venous surgery improved venous volume, venous filling index and ejection fraction in the patient cohort. No significant haemodynamic difference was demonstrated between the two groups of patients who were randomized.<h4>Conclusions</h4>At present, the results of this study do not support the use of routine perforator ligation during superficial surgery for uncomplicated varicose veins.
Keywords: Saphenous Vein; Humans; Varicose Veins; Venous Insufficiency; Ultrasonography, Doppler, Duplex; Plethysmography; Prospective Studies; Adult; Aged; Middle Aged; Female; Male; Hemodynamics
RMID: 0030004716
DOI: 10.1046/j.1440-1622.1999.01525.x
Appears in Collections:Surgery publications

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