Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
Same site recurrence following standardized high ligation and stripping of the great saphenous vein - 5-year results of the LaVaCro trial.
СтатьяМногоцентровое исследованиеКлиническое исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hummel Thomas, Papapostolou Georgios, Broermann Margit, Dresler Christoph, Flessenkämper Ingo, Jünger Michael, Stenger Dietmar, Mühlberger Dominic, Sidhwa Yazad, Falkenstein Thomas, Stücker Markus, Mumme Achim
Аннотация
BACKGROUND: Same-site recurrence at the sapheno-femoral junction (SFJ) takes up a large amount of the daily practice of phlebologists. Follow-up data for high-ligation and stripping (HL/S) of the great saphenous vein (GSV) are quite heterogenous and incoherent. This prospective multicentric study was designed to elucidate the outcome after standardized HL/S with special focus on same site groin recurrences.
PATIENTS AND METHODS: A standardized HL/S of the GSV, including closure of the cribriform fascia, was performed. The primary endpoint was same-site groin recurrence, assessed by clinical examination and duplex ultrasonography. Secondary endpoints were recurrences at different sites.
RESULTS: 405 patients (519 legs) from six German vein centers were included. 225 patients (287 legs, 55.56%) were available for the five-year follow up examination. 21 legs (7.32%) suffered from clinically apparent varicosis. Same site groin recurrences were detected in five (1.74%) cases, of which only two were clinically relevant. Most clinically apparent varicose veins were caused by perforator insufficiencies.
CONCLUSIONS: The standardized technique of HL/S including ligation of small tributaries of the common femoral vein near the SFJ as well as the closure of the cribriform fascia as an anatomical barrier shows excellent results after five years.
PATIENTS AND METHODS: A standardized HL/S of the GSV, including closure of the cribriform fascia, was performed. The primary endpoint was same-site groin recurrence, assessed by clinical examination and duplex ultrasonography. Secondary endpoints were recurrences at different sites.
RESULTS: 405 patients (519 legs) from six German vein centers were included. 225 patients (287 legs, 55.56%) were available for the five-year follow up examination. 21 legs (7.32%) suffered from clinically apparent varicosis. Same site groin recurrences were detected in five (1.74%) cases, of which only two were clinically relevant. Most clinically apparent varicose veins were caused by perforator insufficiencies.
CONCLUSIONS: The standardized technique of HL/S including ligation of small tributaries of the common femoral vein near the SFJ as well as the closure of the cribriform fascia as an anatomical barrier shows excellent results after five years.