The “Substitute Valve” Operation in China

Abstract

This is a report on 1216 patients (1353 lower limbs) from 24 hospitals in China who were operated on by formation of a “substitute valve.” Reflux of the deep venous system in lower limbs is the indication for this operation. Most of the diseased limbs had primary valvular incompetence of the deep venous system. After a long follow-up, it was found that good postoperative results were obtained and the operation may become widely popular because of its easy performance. In particular it is the operation of first choice for treating lower limbs with severe reflux of the deep veins. Through experimental and clinical study, progress has been gained in creating substitutes of the muscular loop with autogenous materials.

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References

1. Psathakis ND : New rational operative treatment for the insufficiency syndrome of the deep veins of the lower extremity. Vasc Dis 1:261-261, 1964.

2. Kappert A . Lehrbuch und Atlas der Angiologie. Bern: Verlag hans Huber, 1976.

3. Sun Jian-Min , Zhang Pei-Hua : The substitute valve operation on the popliteal vein in the treatment of deep venous incompetence of the lower extremity. Vasc Surg 21:17-17, 1987.

4. Sun Jian-Min , Zhang Pei-Hua : Clinical study of late-stage postthrombotic lower extremities. Angiology 41:401-401, 1990.

5. Zhang Pei-Hua , Sun Jian-Min : Percutaneous transpopliteal venography: A new method of evaluating lower extremity venous valvular function. Vasc Surg 24:388-388, 1990.

6. Li-Xun , Lui Xian-Luo : Autogenous loop in the treatment of reflux in deep veins of lower limb. Chin J Exp Surg 9:105-105, 1992.

7. Zhou-Kai , Wang-Fan : Pedicled loop of fascia lata in the treatment of deep venous incompetence in lower limb. J Pract Surg 13:181-181, 1993.

8. Han-Yi , Chen Fu-Sheng , Zhang Jun-Quan , et al: Loop made of a segment of saphenous vein filled with carbon fiber in treatment of deep venous valvular incompetence in lower limb. J Pract Surg 12:167-167, 1992.