Invasive Treatment of Recurrent Varicose Veins in Patients with Femoral Vein Incompetence

Alukhanyan O.A.; Vanyan G.N.; Sukhinin A.A.; Gumenyuk E.S.; Alukhanyan A.O.; Kurgansky O.V.

doi:https://doi.org/10.17116/flebo202519031156

Alukhanyan O.A.

Kuban State Medical University;
Medical Center for Lymphology and Phlebology «ARD-Clinic»

ORCID: 0000-0001-8982-7095

Vanyan G.N.

Kuban State Medical University

ORCID: 0000-0002-4227-1023

Sukhinin A.A.

Kuban State Medical University

ORCID: 0000-0001-6178-0299

Gumenyuk E.S.

Kuban State Medical University

ORCID: 0000-0002-4197-2207

Alukhanyan A.O.

Medical Center for Lymphology and Phlebology «ARD-Clinic»

ORCID: 0000-0002-8306-1639

Kurgansky O.V.

Kuban State Medical University;
Medical Center for Lymphology and Phlebology «ARD-Clinic»

ORCID: 0000-0002-2801-5488

Invasive Treatment of Recurrent Varicose Veins in Patients with Femoral Vein Incompetence

Authors:

Alukhanyan O.A., Vanyan G.N., Sukhinin A.A., Gumenyuk E.S., Alukhanyan A.O., Kurgansky O.V.

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Journal: Journal of Venous Disorders. 2025;19(3): 156‑163

DOI: 10.17116/flebo202519031156

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To cite this article:

Alukhanyan OA, Vanyan GN, Sukhinin AA, Gumenyuk ES, Alukhanyan AO, Kurgansky OV. Invasive Treatment of Recurrent Varicose Veins in Patients with Femoral Vein Incompetence. Journal of Venous Disorders. 2025;19(3):156‑163. (In Russ.)
https://doi.org/10.17116/flebo202519031156

Подписка 2026 Флебология (Journal of Venous Disorders)

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OBJECTIVE

To improve the outcomes of surgery for recurrent varicose disease in patients with femoral vein incompetence.

MATERIAL AND METHODS. THERE WERE

164 patients with recurrent varicose veins including 49 (30%) men and 115 (70%) women. Mean age was 43 years. Patients were divided into two groups: group 1 — patients with reflux in superficial femoral vein; group 2 — patients without deep vein reflux. The 1^st group was subdivided into subgroups: 1a — microsurgical reconstruction of the femoral vein valve with concomitant phlebectomy; 1b — phlebectomy alone. In the 2^nd group, varicose veins were removed in standard fashion.

RESULTS

Long-term follow-up confirmed better results in patients without deep reflux (group 2). There were worse results in subgroup 1b compared to subgroup 1a. Results in subgroup 1a and group 2 were comparable (favorable outcomes in 90% and 93.1% of cases, respectively). On the contrary, long-term results were unfavorable in subgroup 1b. Quality of life significantly improved in all groups. Our data demonstrate significant impact of femoral vein incompetence on postoperative outcomes in patients with recurrent varicose veins.

CONCLUSIONS

Microsurgical reconstruction of typical incompetent femoral vein valve significantly improves the results of surgery for recurrent varicose veins.

Keywords:

recurrence

progression

varicose veins

Authors:

Alukhanyan O.A.

Kuban State Medical University;
Medical Center for Lymphology and Phlebology «ARD-Clinic»

ORCID: 0000-0001-8982-7095

Vanyan G.N.

Kuban State Medical University

ORCID: 0000-0002-4227-1023

Sukhinin A.A.

Kuban State Medical University

ORCID: 0000-0001-6178-0299

Gumenyuk E.S.

Kuban State Medical University

ORCID: 0000-0002-4197-2207

Alukhanyan A.O.

Medical Center for Lymphology and Phlebology «ARD-Clinic»

ORCID: 0000-0002-8306-1639

Kurgansky O.V.

Kuban State Medical University;
Medical Center for Lymphology and Phlebology «ARD-Clinic»

ORCID: 0000-0002-2801-5488

Received:

27.09.2023

Accepted:

25.06.2025

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References:

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