Surgery for Recurrent Veins

Recurrent LSV VVs arise because of inadequate dissection of, or neovascularization at,the SFJ in the presence of a nonstripped or incompletely stripped LSV. Standard teaching is to approach the SFJ through nonoperated tissues (usually from a lateral approach that first exposes the common femoral artery) so that the CFV can be skeletonized of branches using nonabsorbable sutures for 1 to 2 cm above and below the junction. The top of the LSV is dissected from the mass of scar tissue so that it can be stripped. However, this can be a difficult and potentially morbid operation. When the preoperative DU indicates neovascularization as opposed to an intact SFJ, the LSV can be located at the knee, a stripper passed up toward the groin, and the vein stripped without a formal redissection.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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