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VARICI RECIDIVE SOLO ALLA CROSSE?

Rezidive nur an der Crosse ?. VARICI RECIDIVE SOLO ALLA CROSSE?. Recurrent VV only in the groin ?. JA Ebner **, H Ebner * , . * SVGTCHIR, ** CHIRURGIA VASCOLARE E TORACICA Ospedale Centrale Bolzano. Recurrent VV only in the groin ?. References on Recurrent VV. RVV

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VARICI RECIDIVE SOLO ALLA CROSSE?

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  1. Rezidive nur an der Crosse ? VARICI RECIDIVE SOLO ALLA CROSSE? Recurrent VV only in thegroin? JA Ebner**, H Ebner *, * SVGTCHIR,** CHIRURGIA VASCOLARE E TORACICA OspedaleCentraleBolzano

  2. Recurrent VV only in thegroin? References on Recurrent VV RVV in general 57 Crosse,SFJ 24 random stud. 12 Neovascularisation 4 SPJ 5 perforators

  3. Recurrent VV only in thegroin? 22 selectedpapers2000-2013 Recurrences 15 Groin 68% 9 other 41% 8 Perforators 36% Listedalone 5 1 1 6 Listedtogether 27%

  4. Auszeichnung für eine wissenschaftliche Arbeit, die sich mit den Ursachen der Rezidivvarikosis unter spezieller Berücksichtigung der Anatomie der Crossenregion beschäftigt.

  5. Recurrent VV only in thegroin? Possibleexplanations SFJ Incompetencemaincauseof VV More Duplex on Controls Easiertodiagnose ? Discussion on Neovascularisation More oftensymptomatic ? Most frequentsideofreintervention End point in comparativestudies

  6. Recurrent VV only in thegroin? 22 selectedpapers2000-2013 %

  7. Recurrent VV only in thegroin? 534 Radical Babcock-CockettInterventions1998-2003 SFJ Flushligation,GSVstripping,ligatureofperforators, multiple flebectomies for SFJ insufficiency, GSV VV,collateral VV, oneormoreinsufficientperforators, atleast C2

  8. Recurrent VV only in thegroin? Follow-up 120± 21 m 534 Legsoperated 100% 61 Lost for Follow-up 11,4% 473 approached 88,6% 73 bytelephone 13,6% 400 Examinated 74,9% Anamnestic,Clinical,DuplexControl byindependentinvestigators

  9. Assessment Recurrence Clinical: visibleor palpable VV Duplex: VV > 3mm SFJ Reflux > 0,5 sec Fischer type B1,2and C Dilatedperforators

  10. Recurrent VV only in thegroin? RESULTS Recurrent VV Subjectiveestimation Subjectiveestimation Same Site of Op. 24,5% Different Site 15,3% 39,8% Clinicallyvisible VV 45,2%

  11. Recurrent VV only in thegroin? RESULTS Recurrent VV Duplex andclinical Ex.

  12. RESULTS Recurrent VV Recurrent VV only in thegroin? Duplex//and Clinical SITE

  13. Recurrent VV only in thegroin? RESULTS Recurrent VV Source ofRecurrence

  14. RESULTS Recurrent VV Recurrent VV only in thegroin? SFJ Duplex

  15. Recurrent VV only in thegroin? CONCLUSIONS SFC Rec. ismostoftencited in Literat. The reasonsare multi-layered Other sitesareat least asfrequent Wehavetodifferentiatebetweenclinicallyimportantlesionsandmerelytechnicalfindings Also peripheralrecurrencesdeserve Andneedourattention

  16. Rezidive nur an der Crosse ? Zentrale rezidive Als ursache für rez. Wichtiger Aufgrund der Techniken mehr diskutiert Rezidiv messbar Opindikation zum reeingirff wird meist hier gestellt Eigene Ergebnisse

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