Scognamiglio F
Minerva Chir. 1977 Feb 15;32(3):87-94.
After outlining the advances made by surgical technique in the radical treatment of varices veins of the lower extremities, the causes of recurrences are attributed to inadequate operating technique, an error of indication or to treatment of so-called arterial varices of Pratt. Personal experience with 435 operations for varices of the lower extremities carried out from 1971 to the present is reported. 33 cases of relapses or incomplete outcome were observed. The operating report on the occasion of the 2nd intervention showed persistence of the bulb of the internal saphenous vein with all or some of the collateral branches in 22 cases. In 4 cases the recurrence was due to failure to treat insufficiency of the external saphenous vein, and in the remaining 7 cases the cause was insufficient treatment of the communicating veins of the leg.
在概述了外科技术在下肢静脉曲张根治治疗方面取得的进展之后，复发的原因被归结为手术技术不完善、适应证错误或对普拉特所谓的动脉性静脉曲张的治疗问题。报告了1971年至今进行的435例下肢静脉曲张手术的个人经验。观察到33例复发或治疗效果不完全的情况。第二次干预时的手术报告显示，22例患者大隐静脉球部及其全部或部分侧支持续存在。4例复发是由于未治疗小隐静脉功能不全，其余7例的原因是对小腿交通静脉治疗不足。
