2010, Number 3
La safenectomía mayor con flebectomías produce cambios en el flujo de venas perforantes incompetentes
González RMÁ, Flores EMH, Serrano LJA, Sánchez NNE, Mijangos WF, Carrasco GH
Language: Spanish
References: 9
Page: 96-101
PDF size: 338.81 Kb.
ABSTRACT
Objetive: To demonstrate that the patients with perforator vein reflux, need surgery for its correction. Background: Venous disease chronic represents a health problem public It is a disease of evolution chronic with a high prevalence (35%) and with important socialists.Method: Longitudinal, prospective. We included 65 patients from April 2007 to February 2009. Variables were recorded demography, clinic, age, sex, reflux in superficial system, number, grouper, segment and diameter perforating veins. Doppler was performed limb venous plex preoperative and postoperative. The system used was SPSS, the test was paired T, relative risk was determined, as Fisher’s exact test.
Results: We evaluated 65 patients with insufficient perforating veins associated with superficial venous reflux, postoperative de saphenectomy greater with or without phlebectomy, 48 female (73.8%) 17 males (26.2%) average age of 42.2, use the classification No APEC. We determined the diameters perforating veins preoperative range minimum of 2.60 mm and maximum of 3.60, a range postoperative and a minimum of 2.60 mm maximum of 3.30. With the test exact Stoic Fisher the value is obtained exact significance of 0.017.
Conclusions: Our results are similar to those reported in the literature as for that the inadequacy of veins perforates associates with more frequency to superficial reflux that to alterations of the deep veined system.
REFERENCES
Wesley PS, et al. Most incompetent calf perforating veins are found in association wi6. Wesley PS, et al. The relationship between the number, competence and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. J Vasc Surg 2000; 32(1): 138-43.