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  • Title: Ligation of the saphenofemoral junction tributaries as risk factor for groin recurrence.
    Author: Cappelli M, Molino-Lova R, Giangrandi I, Ermini S, Gianesini S.
    Journal: J Vasc Surg Venous Lymphat Disord; 2018 Mar; 6(2):224-229. PubMed ID: 29290602.
    Abstract:
    OBJECTIVE: The aim of this study was to compare the recurrence rate after high ties performed with or without sparing of the saphenofemoral junction tributaries. METHODS: There were 867 lower limbs enrolled. All patients underwent a high tie with (group A) or without (group B) ligation of all the junctional tributaries for a great saphenous vein reflux (C2-5EpAsPr). A duplex ultrasound examination detected recurrences. RESULTS: Median follow-up was 5 years (interquartile range, 3-8 years). Group A had a higher recurrence rate than group B (odds ratio, 7.52; P < .001). Group A recurrences (7.4%), compared with group B (1.1%), presented with a more frequent direct stump reconnection (3.7% vs 0.2%; P < .001) or newly developed pelvic shunts (3% vs 0.5%; P < .001). No significant difference was reported between the two groups in newly incompetent perforating veins. CONCLUSIONS: Ligation of the junctional tributaries is associated with a higher recurrence risk. Further investigations are needed to determine the hemodynamic role of each single junctional tributary.
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