Case on Anatomical Barrier against Postoperative Neovascularization
The postoperative neovascularization at the level of the ligated saphenous stump is presently perceived as one of the significant pathophysiological components prompting repeat of varicose veins after saphenofemoral intersection (SFJ) ligation. To contain such neovascularization and subsequently forestall repeat from the crotch the utilization of a prosthetic or physical boundary to cover the ligated saphenous stump has been proposed.6e16 In a past report at our emergency clinic promising outcomes were acquired with the consolidated utilization of a silicone fix and conclusion of the cribriform belt on top of it. Limbs treated with extra fix saphenoplasty had a critical lower occurrence of neovascularization on duplex ultrasound checking one year after SFJ ligation, when contrasted with appendages in which no boundary method had been utilized. Be that as it may, implantation of unfamiliar material might prompt postoperative complications. Therefore methodical utilization of a prosthetic fix in the crotch after SFJ ligation stays a sketchy issue.