Matkovski Paula Dayana, da Rocha Jorge Oliveira, Rocha Arthur de Souza, Cabral André Laurindo, Knihs Caio Augusto, Loures João Marcelo Gonçalves da Rocha, Zucco Fabrício Martins, Candemil Patrick Cardoso
Pontifícia Universidade Católica do Paraná - PUC-PR, Departamento de Ciências da Saúde, Curitiba, PR, Brasil.
Hospital Santa Isabel - HSI, Setor de CirurgiaVascular, Blumenau, SC, Brasil.
J Vasc Bras. 2017 Oct-Dec;16(4):335-338. doi: 10.1590/1677-5449.004217.
The most common cause of recurrence of varicose veins in the lower limbs is inadequate dissection of the internal saphenous arch, with ligature that is not flush to the saphenofemoral junction. Direct access to the scar tissue of previous surgery should be avoided to the maximum because of the high risk of bleeding and of lymphatic injuries. Access proximal to the scar tissue, initially at the common femoral vein, above the saphenofemoral junction, continuing caudally to the saphenous arch, proved to be an effective and relatively simple technique when compared to medial, lateral and direct approaches.
下肢静脉曲张复发的最常见原因是大隐静脉弓游离不充分，结扎处未与股隐静脉交界处齐平。由于出血和淋巴损伤风险高，应尽量避免直接进入既往手术的瘢痕组织。与内侧、外侧和直接入路相比，在瘢痕组织近端入路，最初在股总静脉，位于股隐静脉交界处上方，向尾侧延续至大隐静脉弓，被证明是一种有效且相对简单的技术。
