Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.004217
Jornal Vascular Brasileiro
Case Report

Tratamento da recidiva da crossa da veia safena magna por acesso proximal

Treatment of recurrent varicosity of the great saphenous vein arch via proximal access

Paula Dayana Matkovski, Jorge Oliveira da Rocha Filho, Arthur de Souza Rocha, André Laurindo Cabral, Caio Augusto Knihs, João Marcelo Gonçalves da Rocha Loures, Fabrício Martins Zucco, Patrick Cardoso Candemil

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Resumo

A maior causa de recidiva das varizes dos membros inferiores é a inadequada dissecção da crossa da safena interna, com a ligadura não rente da junção safenofemoral. O acesso direto ao tecido cicatricial de uma cirurgia prévia deve ser evitado ao máximo pelo elevado risco de sangramento e de lesões linfáticas. O acesso proximal ao tecido cicatricial, abordando inicialmente a veia femoral comum acima da junção safenofemoral, seguindo-a em direção caudal até a crossa da safena, mostrou-se uma técnica eficiente e relativamente simples quando comparada às abordagens medial, lateral e direta.

Palavras-chave

veia safena; recidiva; varizes.

Abstract

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.

Keywords

saphenous vein; recurrence; varicose veins.

References

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