What is Saphenofemoral ligation?

Conclusion: The isolated ligation of saphenofemoral junction is a minimally invasive, safe and effective modality for treatment of chronic leg ulcer, and being easily performed under local anesthesia and considered to be a satisfactory procedure for treatment of leg ulcer in patients who are unfit for general …

What is ligation for varicose veins?

Ligation means the surgical tying of veins through a small incision in the skin to prevent pooling of blood. Ligation may be used in conjunction with vein stripping, or removal of the vein. In many instances, the vein is removed using a minimally invasive surgical procedure called venous ablation.

What is high ligation of greater saphenous vein?

High ligation is a medical term that refers to tying off a vein through surgical methods to prevent blood flow into a diseased or non-functioning vein. The vein most likely to undergo a ligation procedure is the great saphenous vein, which is the large, superficial vein that runs from the groin into the foot.

What is perforator ligation?

The technique is based on subfacial ligation of perforating veins through a small skin incision (2.3 cm). This procedure allows a fast healing of surgical wounds and a good esthetical result. The subfacial ligation allows a complete cure of the disease in primary varicose veins and avoids the main causes of recurrence.

What is Saphenofemoral incompetence?

Sapheno-femoral junction is incompetent with reversal of flow on Valsalva maneuver. Great saphenous vein is dilated throughout its course. Multiple dilated subcutaneous veins are seen along medial aspect of lower thigh and leg suggestive of varicose veins.

Is vein ligation painful?

You will have some pain from the cuts (incisions) the doctor made. Your leg may feel stiff or sore for the first 1 to 2 weeks. Your doctor will give you pain medicine for this. You can expect your leg to be very bruised at first.

Why do varicose veins Ligate?

Vein ligation and stripping is generally done on large varicose veins. It also can be done to prevent venous skin ulcers from returning after treatment. This surgery may be used when: You want to get rid of varicose veins for cosmetic reasons and you don’t have other health problems that would make surgery more risky.

What happens to vein after ligation?

Vein ligation and stripping surgery has some risks, such as scarring and varicose veins recurring. Also, if the deep vein system is damaged, surgery may make problems with blood flow in the veins worse.

What is ligation of an artery?

With a blood vessel the surgeon will clamp the vessel perpendicular to the axis of the artery or vein with a hemostat, then secure it by ligating it; i.e. using a piece of suture around it before dividing the structure and releasing the hemostat.

What are perforators?

The perforating veins of the lower limb (PV or “perforators”) are so called because they perforate the deep fascia of muscles, to connect the superficial venous systems of the lower extremity with the deep veins where they drain. There are numerous veins in variable arrangement, connection, size, and distribution.

How do you treat a perforator vein?

Minimally invasive treatments have replaced traditional surgical treatments for incompetent perforator veins. Current minimally invasive treatment options include ultrasound guided sclerotherapy (USGS) and endovascular thermal ablation (EVTA) with either laser or radiofrequency energy sources.

How do you test for Saphenofemoral incompetence?

Ultrasound. Doppler ultrasound can detect the presence and distribution of the subcutaneous varicosities. Moreover, it is the method of choice to assess the state of the saphenofemoral junction. Reflux of blood flow at the junction during Valsalva maneuvre indicates incompetence.

When to perform saphenofemoral junction ligation and disconnection?

Background: Saphenofemoral junction ligation and disconnection (SFJLD) can be performed without exceeding the safe limits of local anesthetic if stripping of the long saphenous vein is not routine.

How to suture ligate the greater saphenous vein?

Ligate the greater saphenous vein 2 cm distal to the saphenofemoral junction. Apply a clamp to the saphenofemoral junction and divide the saphenous vein, suture-ligating the saphenofemoral junction with 2-0 silk.

Is there deep vein thrombosis at the saphenofemoral junction?

Daily fondaparinux cuts risk of complications, death A previous ultrasound showed no evidence of deep vein thrombosis (DVT), but did reveal reflux along the left great saphenous vein from the saphenofemoral junctionto the ankle.