Ultrasound of the groin region following surgical intervention of the great saphenous vein

Summary

A considerable number of cases of phlebo-logical surgery are postoperative controls, which are also essentially intended to serve as quality controls. Ultrasound plays the main role here, particularly also to identify early relapse (1). Relapse after surgery on the saphenofemoral junction causes the greatest problem after varicose vein treatment. Various attempts to stratify this have still not yielded sufficiently clear results (1, 4–6). This contribution aims to shed light on the duplex ultrasound investigation in the region of the saphenofemoral junction following crossectomy and endoluminal thermal procedures. Normal findings and various relapse possibilities are described.

Keywords

Crossectomy - VNUS - ELT - duplex ultrasound - relapse

• References

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• 2 De Maeseneer MG, Vandenbroeck CP, Hendriks JM, Lauwers PR, van Schil PE. Accuracy of duplex evaluation one year after varicose vein surgery to predict recurrence at the sapheno-femoral junction after five years. EJVES 2005; 29: 308-331.
• 3 Mendoza E. Provocation manoeuvres fort he duplex ultrasound diagnosis for varicose veins. Phlebologie 2013; 42 (06) 357-362.
• 4 Mendoza E. Der saphenofemorale Übergang im Ultraschall. Phlebologie 2014; 43: 42-45.