Aim: To highlight the components of stripping operation of the great saphenous vein and to offer a proposal for guidelines.
Methods: 7789 admissions with venous insufficiency during the period, reaching seven and a half years were evaluated. Seventy- two admissions of nineteen patients were related to the recurrent symptoms due to previous incomplete stripping surgery. Doppler ultrasonography evaluations were made. The remained venous segment from the first operation was excised in the second operation.
Results: Mean duration between two operations was 7.44 years. Preoperative clinics were changing between C2s and C5 according to CEAP classification. Only nine patients could be persuaded to undergo the second operation. The remaining six patients rejected the second operation.
Conclusion: While the patients who were operated on for the second time regained their health, others became the epitome of hopelessness and mistrust. They lost their confidence in medicine and surgery. If a stripping operation is planned, it should be performed in full accordance with the surgical procedure of stripping as mentioned in the classical textbooks. Guidelines should contain expressions reminding of ethical issues. This will prevent the dereliction of the duty and the loss of money, labor, time, health, patients' confidence in surgery (Tab. 1, Fig. 1, Ref. 18) Keywords: ethics, malpractice, quality of life, venous, saphenous, stripping.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.4149/BLL_2020_037 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Midterm Efficacy of Sclerosing Foam Combined With Endovenous Laser Treatment for Varicose Veins of the Lower Extremities.
J Surg Res
March 2025
Department of Vascular Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, China. Electronic address:
Introduction: This study aimed to assess the midterm efficacy and symptoms of sclerosing foam combined with endovenous laser ablation in treating lower-extremity varicose veins.
Methods: This study analyzed 838 patients (985 limbs) with varicose veins in one or both lower extremities, treated at our center from September 2020 to June 2022. All patients underwent sclerosing foam combined with endovenous laser ablation.
First successful use of translocated autologous great saphenous vein to the upper arm for hemodialysis access in Vietnam: A 3-year follow-up case report.
J Vasc Access
March 2025
Department of Vascular Surgery, Duc Tin Clinic, Ho Chi Minh, Vietnam.
The rising global incidence of kidney failure has increased the demand for long-term hemodialysis, which requires reliable vascular access. While arteriovenous fistulas (AVFs) are typically preferred, alternative approaches are needed when autogenous options are exhausted. The use of translocated autologous saphenous vein (SV) conduits has been predominantly documented in developed countries but rarely employed in developing nations, including Vietnam.
View Article and Find Full Text PDFOpen and endovascular repair of infected femoral artery pseudoaneurysms in intravenous drug abusers: results from the Italian "IN-FEMS" (INfected Femoral artery psEudoaneurysMs in drug addictS) multicentric Registry.
Ann Vasc Surg
March 2025
Vascular and Endovascular Surgery Division, Padua University Hospital, Padova, Italy.
Objective: Infected femoral artery pseudoaneurysms (IFAPs) are threatening complications of voluntary drug injections in the groin. The purpose of this study is to report the results of open and endovascular repair of IFAPs in intravenous drug abusers.
Methods: The IN-FEMS (INfected Femoral artery psEudoaneurysMs in drug addictS) is a physician-initiated, multicenter and retrospective registry of patients treated for native IFAPs between 2010 and 2023 in 18 different Italian Vascular Surgery Departments.
Enhancing Vascular Surgery Training Through Supervised Dissection of Post-Amputation Specimens.
Ann Vasc Surg
March 2025
Department of Vascular Surgery, Englewood Health, Englewood, New Jersey.
Objectives: Over recent years, the practice of surgery has seen a dramatic shift to minimally invasive approaches and techniques, with decreased surgical trainee exposure to open procedures, and less experience and confidence of junior surgeons. In vascular surgery specifically, endovascular procedures now dominate surgical management. Simulation labs attempt to address this deficit but fail to accurately replicate anatomical dissections and exposures.
View Article and Find Full Text PDFAdventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain.
Life (Basel)
January 2025
Department of Vascular Surgery, Nancy University Hospital, 54500 Nancy, France.
Arterial cystic disease (ACD) affecting the popliteal artery (PA) is a rare form of non-atherosclerotic vascular disease. This cystic tumor is defined by the accumulation of a mucinous substance in the adventitia. Treatment options include percutaneous cyst aspiration, percutaneous transluminal balloon angioplasty, the evacuation of the cyst through a surgical approach, and resection of the affected artery segment followed by arterial reconstruction using autologous venous or prosthetic grafting.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!