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Rivista di Angiologia
Official Journal of the , the International Union of Phlebology and the
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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International Angiology 2015 June;34(3):238-42
Great saphenous vein stripping and nerve injury: the role of stripping direction
Milone M., Di Minno M. N. D., Maietta P., Shatalova O., Musella M., Milone F. ✉
Department of Advanced Biomedical Science, University of Naples “Federico II”, Naples, Italy
AIM: Although saphenous nerve (SN) injury represents a complication of great saphenous vein (GSV) stripping, little is know about the techniques to minimize the risk of nerve injury. This is still controversial if the stripping direction could be related to the incidence of nerve injury.
METHODS: A prospective comparative study to compare upwards and downwards total GSV stripping during saphenectomy with regard to the occurrence of postoperative SN injury has been designed. Electroneurogram measurement and clinical identification of nerve injury have been performed 1 day before surgery, 1 week, 12 weeks and 1 year after surgery.
RESULTS: Although clinical evaluation of nerve injury was found to be similar among upwards and downwards stripping both at one and 12 weeks after surgery, ENG measurement showed a higher incidence of lesions after the downwards stripping both at one and 12 weeks after surgery. No clinical or ENG findings of nerve injury was found 1 year after surgery.
CONCLUSION: Upwards method is less traumatic than downwards total GSV stripping in terms of incidence of SN injury, as conﬁrmed by electrophysiological nerve studies.