Intermediate Results of Two Methods of External Valvuloplasty for Deep Venous Insufficiency

Abstract

During the past six years, 17 limbs of 13 patients with deep venous insufficiency reaching below knee underwent deep vein reconstruction in our hospital. Among them, 7 limbs in 4 patients underwent Kistner’s external repair (group-A) and the other 10 limbs in 9 patients purse-string suture for primary valve insufficiency (group-B). To evaluate the effectiveness for two external valvuloplastys in deep vein insufficiency, the late clinical condition after surgical treatment was retrospectively compared with two groups.

Late results of these groups were obtained by examination or telephone.

In clinical improvement, group B was superior to group A. However, compression therapy after discharge was required about 70% in both groups. On the other hand, compared with follow-up results for number of the reconstructed valve, cases reconstructed in two valves was superior to cases in single valve.

In conclusion, the technique of purse-string suture with plural vein reconstruction was very effective in improvement of clinical manifestation and venous hemodynamics.