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Description and results of a new technique for the treatment of the superficial and/or perforating venous insufficiency of the lower limbs

Author(s): Alejandro Farmache

Introduction: During the XX Century, the surgical treatment of the superficial and/or perforating venous insufficiency of the lower limbs has been based on a resective and venous stripping concept with limited results and high levels of recurrence to 5 years follow up. Objective: To present a new minimally invasive surgical procedure called AF Repairing for the treatment of the venous insufficiency of the lower limbs and to evaluate its long term results. Material and methods: AF Repairing is a surgical procedure, minimally invasive, which eliminates varicose dilatations and vertical and/or transversal pathological refluxes corresponding to the superficial and/or perforating venous insufficiency of the lower limbs, detected by Scanning Duplex Color and treated with the application of extra-vascular Titanium Clips through little skin incisions. All patients were included in class 2–6 CEAP clinical classification. Patients of different sex and ages were studied. Diabetic and obese patients were included as well as those with coagulation and/or lymphatic problems with concomitant venous pathology. Results: There were 88 patients operated with AF Repairing technique, corresponding to 128 lower limbs affected with superficial and/or perforating Venous Insufficiency enclosed in CEAP clinical classification (2-6). The average age was of 54 + 15, the average 54 and varied from 19 to 81 years old. The sex corresponded to 74 women (84%) and 14 men (16%). The clinical varicose recurrence to 5 year follow up was 10, 15%; low percentage of complications, fast recovery, and highly prescribed. Conclusion: It is presented a new surgical technique, minimally invasive, which for its results and advantages, shows a new perspective in the treatment of the venous insufficiency.
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