Abstract
Objective:To compare the nerve injury and vessel disruption complicaitons in patients undergoing saphenous vein stripping using olive heads of different sizes.Methods:Big olive heads were used in group A (n=50) and small olive heads were used in group B (n=50) from the ankle to the groin; in group C (n=50), the vein was stripped in two sections; in an upward fashion by stripping the distal portion from the ankle to the level of the knee using small olive heads and by stripping the proximal portion from the knee to the level of the groin using big olive heads.Results:Six months after the operation, nerve injury symptoms were identified in 26%, 4%, 6% of patients in groups A, B, and C respectively. Vessel disruption occurred 2% in group A, 32% in group B, and 4% in group C. Both vessel disruption and nerve injury complications of group C were significantly lower than group A and B (p<0.001).Conclusion:Saphenous stripping using big olive heads for the proximal portion from the groin down to the level of the knee and using small olive heads for the distal portion from the knee to the level of the ankle is the alternative method which results in minimal nerve injury and vessel disruption.
Highlights
Varicose vein surgery operations include complications such as hematoma, femoral artery1
One hundred fifty patients who underwent varicose vein surgery by the same surgeon at our clinic were included in the study
In group C (n=50), the vein was stripped in two sections in an upward fashion, by stripping the distal portion from the ankle to the level of the knee using small olive heads
Summary
Varicose vein surgery operations include complications such as hematoma, femoral artery. February 20, 2016 April 12, 2016 injury, deep venous thrombosis, pulmonary embolism and saphenous nerve injury.[1,2] Among these, saphenous nerve injury has long been recognized as a potential complication of greater saphenous vein stripping.[2] Anatomic studies have identified several reasons why these injuries may occur.[3,4] The saphenous nerve is located adjacent to the greater saphenous vein throughout much of its course. This association is close from several centimeters below the knee to the medial malleolus. To avoid this complication many alternative techniques are performed such as high ligation and stab avulsion, radiofrequency ablation, and endovenous laser ablation.[6,7,8] We performed a study on our patients who had venous stripping surgery to compare the ranges of nerve injury and vessel disruption
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