Thirty-five patients (32 women, 3 men, mean age thirty-four years old) underwent external valvuloplasty of the saphenofemoral junction (EV-SFJ). The surgical rationale of this operation is the evidence, in the first stage of primary varicose disease, of a normal valvular apparatus in a dilatated phlebosclerotic vein wall. EV-SFJ restores valve function by correcting vein wall dilatation.
EV-SFJ was performed under local anesthesia and, in the last 10 cases, with intraop erative angioscopy This examination confirms the presence of a complete apparatus of the terminal and of the subterminal long saphenous valves and allows the intraoperative control of the correction of vein wall dilatation. Follow-up was from five to fifty-seven months (average forty-two months).
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