The sapheno femoral junction involvement in the treatment of varicose veins disease
Sapheno femoral junction (SFJ) incompetence has been considered the most important cause of chronic venous insufficiency in a high percent of cases since the beginning of history varicose veins treatment. As a consequence SFJ dissection, ligation and section has been practiced all along the last cen...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2017-07-01
|
| Series: | Veins and Lymphatics |
| Subjects: | |
| Online Access: | http://www.pagepressjournals.org/index.php/vl/article/view/6822 |
| _version_ | 1819066925041319936 |
|---|---|
| author | Stefano Ricci |
| author_facet | Stefano Ricci |
| author_sort | Stefano Ricci |
| collection | DOAJ |
| description | Sapheno femoral junction (SFJ) incompetence has been considered the most important cause of chronic venous insufficiency in a high percent of cases since the beginning of history varicose veins treatment. As a consequence SFJ dissection, ligation and section has been practiced all along the last century, generally associated to great saphenous vein stripping, with the porpoise of stopping the effect of hydrostatic pressure considered the origin of varicose veins. Recurrence prevalence at the site of SFJ, even in correctly performed dissection suggests that this attitude may not be the ideal one. Moreover, with the introduction of catheter-based systems of endovenous heating of the great saphenous vein with radiofrequency or endovenous laser ablation, it was shown that venous ablation could be achieved without high ligation of the SFJ. Also foam sclerotherapy demonstrated good results, even if less effective, always leaving the SFJ untouched. Following this trend several methods have been suggested that spare the SFJ, so that this site have lost its strategical importance. In this review history of the SFJ involvement in the varicose vein strategy is analyzed with particular attention to the new generation methods, technology assisted, launched on the market. |
| first_indexed | 2024-12-21T16:10:06Z |
| format | Article |
| id | doaj.art-487d02f35ec24e9393346ca031ed9536 |
| institution | Directory Open Access Journal |
| issn | 2279-7483 |
| language | English |
| last_indexed | 2024-12-21T16:10:06Z |
| publishDate | 2017-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Veins and Lymphatics |
| spelling | doaj.art-487d02f35ec24e9393346ca031ed95362022-12-21T18:57:49ZengPAGEPress PublicationsVeins and Lymphatics2279-74832017-07-016210.4081/vl.2017.68225363The sapheno femoral junction involvement in the treatment of varicose veins diseaseStefano Ricci0Università Campus Bio Medico, RomaSapheno femoral junction (SFJ) incompetence has been considered the most important cause of chronic venous insufficiency in a high percent of cases since the beginning of history varicose veins treatment. As a consequence SFJ dissection, ligation and section has been practiced all along the last century, generally associated to great saphenous vein stripping, with the porpoise of stopping the effect of hydrostatic pressure considered the origin of varicose veins. Recurrence prevalence at the site of SFJ, even in correctly performed dissection suggests that this attitude may not be the ideal one. Moreover, with the introduction of catheter-based systems of endovenous heating of the great saphenous vein with radiofrequency or endovenous laser ablation, it was shown that venous ablation could be achieved without high ligation of the SFJ. Also foam sclerotherapy demonstrated good results, even if less effective, always leaving the SFJ untouched. Following this trend several methods have been suggested that spare the SFJ, so that this site have lost its strategical importance. In this review history of the SFJ involvement in the varicose vein strategy is analyzed with particular attention to the new generation methods, technology assisted, launched on the market.http://www.pagepressjournals.org/index.php/vl/article/view/6822Sapheno femoral junctionhigh ligationconservative surgeryhistory of varicose veins treatment. |
| spellingShingle | Stefano Ricci The sapheno femoral junction involvement in the treatment of varicose veins disease Veins and Lymphatics Sapheno femoral junction high ligation conservative surgery history of varicose veins treatment. |
| title | The sapheno femoral junction involvement in the treatment of varicose veins disease |
| title_full | The sapheno femoral junction involvement in the treatment of varicose veins disease |
| title_fullStr | The sapheno femoral junction involvement in the treatment of varicose veins disease |
| title_full_unstemmed | The sapheno femoral junction involvement in the treatment of varicose veins disease |
| title_short | The sapheno femoral junction involvement in the treatment of varicose veins disease |
| title_sort | sapheno femoral junction involvement in the treatment of varicose veins disease |
| topic | Sapheno femoral junction high ligation conservative surgery history of varicose veins treatment. |
| url | http://www.pagepressjournals.org/index.php/vl/article/view/6822 |
| work_keys_str_mv | AT stefanoricci thesaphenofemoraljunctioninvolvementinthetreatmentofvaricoseveinsdisease AT stefanoricci saphenofemoraljunctioninvolvementinthetreatmentofvaricoseveinsdisease |