Acosta AY

Language: Spanish
References: 23
Page: 1-10
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ABSTRACT

Introduction: Post-saphenectomy neuralgia of the internal saphenous nerve is the natural expression of a peripheral truncal nerve injury and constitutes a frequent clinical syndrome; however, it is rarely studied, from all points of view.
Objective: To assess neuralgia of the internal saphenous nerve in patients operated on for essential varicose veins of the lower limbs.
Method: A descriptive-retrospective study was carried out in 60 surgically intervened patients (stripping or phlebo-extraction) in the angiology and vascular surgery service of Freyre de Andrade Clinical-Surgical Teaching Hospital for a diagnosis of essential varicose veins of the lower limbs and manifestation of neuralgia of the internal saphenous nerve. The study was carried out from January to December 2017. The variables studied were sex, location of the saphenectomy (left, right, or bilateral), and manifestation of neuralgia in the internal saphenous nerve. We worked with absolute and relative frequency values.
Results: 40% of the saphenectomies were bilateral, 31.6% were performed in the lower right limb, and 28.3% corresponded to the lower left limb. 80% were women (left side: 25%, right side: 25%, and bilateral: 50%) and 20% were men (right side: 58.3%, and left side: 41.7%). Patients with neuralgia of the internal saphenous never accounted for 23.3% (41.7% were men and 18.8% were women).
Conclusion: The correct identification of neuralgia of the internal saphenous nerve allows to exclude other vascular complications and to establish prophylactic measures to avoid it.

REFERENCES

1. Porter JM, Moneta GL. Reporting standards in venous disease: an update. J Vasc Surg. 2015;21:635-45.

2. Eklof B, Rutherford RB, Bergan JJ, JP Vecan, Cougen RG, Collen FP, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2014;40:1248-52.

3. Evans CJ, Fowkes FGR, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Comm Health. 2016;53:149-53.

4. Kurz X, Kahn SR, Abenhaim L, Delitee RF, Estraus RT, Crugenn PL, et al. Chronic venous disorders of the leg: epidemiology, outcomes, diagnosis and management: summary of an evidence-based report of the VEINES Task Force. Int Angiol. 1999;18:83-102.

5. Moffatt CJ, Franks PJ, Doherty DC, Martin R, Blewett R, Ross F. Prevalence of leg ulceration in a London population. QJM. 2014;97:431-7.

6. Labropoulos N. Hemodynamic changes according to the CEAP classification. Phlebolymphology. 2013;40:130-6.

7. Brand FN, Dannenberg AL, Abbott RD, Kannel WB. The epidemiology of varicose veins: the Framingham Study. Am J Prev Med. 2017;4:96-101.

8. Lee AJ, Evans CJ, Allan PL, Ruckley CV, Fowkes FG. Lifestyle factors and the risk of varicose veins: Edinburgh Vein Study. J Clin Epidemiol. 2015;56:171-9.

9. Criqui MH, Jamosmos M, Fronek A, Fromet TR, Braga UT, et al. Chronic venous disease in an ethnically diverse population: the San Diego Population Study. Am J Epidemiol. 2015;158:448-56.

10. Fowkes FG, Lee AJ, Evans CJ, Allan PL, Bradbury AW, Ruckley CV. Lifestyle risk factors for lower limb venous reflux in the general population: Edinburgh Vein Study. Int J Epidemiol. 2015;30:846-52.

11. Laurikka JO, Sisto T, Tarkka MR, Auvinen O, Hakama M. Risk indicators for varicose veins in forty- to sixty-year-olds in the Tampere varicose vein study. World J Surg. 2016;26:648-51.

12. Chiesa R, Marone EM, Limoni C, Volonte M, Schaefer E, Petrini O. Demographic factors and their relationship with the presence of CVI signs in Italy: the 24-cities cohort study. Eur J Vasc Endovasc Surg. 2015;30:674-80.

13. McGuckin M, Waterman R, Brooks J, Roman Y, Trosar RE. Validation of venous leg ulcer guidelines in the United States and United Kingdom. Am J Surg. 2016;183:132-7.

14. Ruckley CV. Socio-economic impact of chronic venous insufficiency and leg ulcers. Angiology. 2015;48:67-9.

15. Carpentier PH, Cornu-Thénard A, Uhl JF, Partsch H, Antignani PL. Appraisal of the information content of the C classes of CEAP clinical classification of chronic venous disorders: a multicenter evaluation of 872 patients. J Vasc Surg. 2014;37:827-33.

16. Kahn SR, M'lan CE, Lamping DL, Kurz X, Bérard A, Abenhaim LA. Relationship between clinical classification of chronic venous disease and patient-reported quality of life: results from an international cohort study. J Vasc Surg. 2014;39:823-8.

17. Andreozzi GM, Cordova RM, Scomparin A, Martini R, D'Eri A, Andreozzi F. Quality of life in chronic venous insufficiency: an Italian pilot study of the Triveneto Region. Int Angiol. 2015;24:272-7.

18. Kistner RL, Eklof B, Masuda EM. Diagnosis of chronic venous disease of the lower extremities: the "CEAP" classification. Mayo Clin Proc. 2016;71:338-45.

19. Tassiopoulos AK, Golts E, Oh DS, Labropoulos N. Current concepts in chronic venous ulceration. Eur J Vasc Endovasc Surg. 2016;20:227-32.

20. Van Cleef JF, Hugentobler JP, Desvaux P, Griton P, Cloarec M. Étude endoscopique des reflux valvulaires saphéniens. J Mal Vasc. 2016;17(Suppl B):113-6.

21. Sales CM, Rosenthal D, Petrillo KA, Kaplan RT, Harrison ED, et al. The valvular apparatus in venous insufficiency: a problem of quantity? Ann Vasc Surg. 2015;12:153-5.

22. Badier-Commander C, Verbeuren T, Lebard C, Michel JB, Jacob MP. Increased TIMP/ MMP ratio in varicose veins: a possible explanation for extracellular matrix accumulation. J Pathol. 2015;192:105-12.

23. Lindner V, Reidy MA. Proliferation of smooth muscle cells after vascular injury is inhibited by an antibody against basic fibroblast growth factor. Proc Natl Acad Sci USA. 1991;88:3739-43.