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- W4246108435 abstract "Carlie Chaplin once said that simplicity is not a simple thing. We seem to forget this when treating patients with varicose veins. Population studies showed that only one-third of these patients has saphenous reflux, yet elimination of saphenous reflux when it is present is believed to be curative, and removal of the saphenous vein from the circulation remains the mainstream intervention. Excellent short-term results of high ligation with or without stripping of the saphenous vein convinced many surgeons that recurrences result from the errors in surgical technique. Over time, however, it became clear that other factors play an important, if not the major, role in development of recurrent varicose veins and recurrent saphenous reflux. Surgical trauma induces inflammation and angiogenesis. Along with hemodynamic forces, these processes lead to reconnection of remaining distal saphenous vein and other superficial veins to the deep venous system. It is especially demonstrative in cases of high ligation without stripping, when neoveins form large collaterals around the ligated segment, sometimes indistinguishable in appearance from the saphenous vein itself. Histopathologic differences in the endovenous laser ablation between jacketed and radial fibers, in an ex vivo dominant extrafascial tributary of the great saphenous vein in an in vitro model, using histology and immunohistochemistryJournal of Vascular Surgery: Venous and Lymphatic DisordersVol. 7Issue 2PreviewThe study aimed to investigate the biologic effects of the 1470-nm endovenous laser (EVL), with a jacketed fiber and a radial fiber, during EVL ablation of an ex vivo dominant extrafascial tributary of the great saphenous vein in our in vitro model by histology and immunohistochemistry. Full-Text PDF" @default.
- W4246108435 created "2022-05-12" @default.
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- W4246108435 date "2019-03-01" @default.
- W4246108435 modified "2023-10-16" @default.
- W4246108435 title "Invited commentary" @default.
- W4246108435 doi "https://doi.org/10.1016/j.jvsv.2018.09.018" @default.
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