Nabatoff R A
Arch Surg. 1978 May;113(5):586-8. doi: 10.1001/archsurg.1978.01370170048007.
During 5,050 stripping operations for varicose veins, three noticeable deviations from the normal anatomy were encountered. In two patients (0.04%) the long saphenous vein entered the femoral vein completely separate from its branches, which joined to form a common trunk before emptying into the femoral vein. In one patient (0.02%), the femoral vein and artery were transposed in the region of the fossa ovalis. In one patient (0.02%), a long saphenous artery was encountered. It arose from the femoral artery just proximal to the origin of the deep femoral artery and accompanied the long saphenous vein along the medial aspect of the upper thigh. In some patients, a large venous cluster overlying the fossa ovalis was encountered, usually the result of a congenital venous anomaly. Surgical problems can be minimized if the possibility of these congenital anomalies is always considered.
在5050例静脉曲张剥脱手术中，遇到了三例明显偏离正常解剖结构的情况。在两名患者（0.04%）中，大隐静脉完全独立于其分支进入股静脉，这些分支在汇入股静脉之前汇合形成一个共同主干。在一名患者（0.02%）中，股静脉和动脉在卵圆窝区域发生了移位。在一名患者（0.02%）中，发现了一条大隐动脉。它从股动脉发出，恰好在股深动脉起始部的近端，并沿着大腿上部内侧与大隐静脉伴行。在一些患者中，遇到了覆盖卵圆窝的大静脉团，通常是先天性静脉异常的结果。如果始终考虑到这些先天性异常的可能性，手术问题可以降到最低程度。
