Occurrence of lateral incompetent perforating veins of the XXXX . Usefulness of the posterior midline incision.

@entity1 @entity1909 @entity39 @entity1066 @entity245 @entity337 @entity86 @entity291
This investigation is an evaluation of the posterior approach for subfascial ligation of incompetent perforating veins (IPV) of the @entity291 . The distribution of veins found incompetent at operation and the incidence of wound complications were studied. 39 @entity1 with clinical multiple perforating vein insufficiency were operated on. At the end of the operation the crural fascia was sutured in half of them. The tissue pressure in the gastrocnemius muscle was measured in 13 @entity1 postoperatively. 151 IPVs were found in the 39 legs operated on (3.8/ leg). 25% were found on the lateral side, and were inaccessible from a medial incision. @entity86 was noted in 3 @entity1 and in a further 6 mostly minor @entity39 with @entity245 occurred. The incidence of @entity245 was not influenced by fascia suture and the tissue pressure was normal in the 13 @entity1 so examined. The posterior incision gives excellent access to both medial and lateral IPVs and makes possible resection of the short saphenous vein at the same time. This approach is useful when @entity1066 and @entity1909 are present on both medial and lateral sides or when there are medial IPVs and signs of @entity337 of the short saphenous vein.
