Ann Phlebology.  2022 Dec;20(2):81-87. 10.37923/phle.2022.20.2.81.

The Management of Incompetent Small Saphenous Vein: A Survey of the Members of the Korean Society for Phlebology

• Hong KP

• KMID: 2549979
• DOI: http://doi.org/10.37923/phle.2022.20.2.81

Abstract

Background
This study aimed to explore the current practices and views of members of the Korean Society for Phlebology regarding incompetent small saphenous veins (SSV).
Methods
A questionnaire was sent to the Korean Society for Phlebology members via email. Of 291 members contacted, 47 responded.
Results
Preoperative duplex ultrasonography was performed by 85% of the respondents who were operating surgeons, and 92% marked the course of the SSV preoperatively using ultrasound guidance. The same treatment option was performed for all cases, regardless of anatomy or insurance coverage, by 21%. Seven members performed flush ligation at the saphenopopliteal junction (SPJ) during the surgical treatment. Four members reported positioning the terminal end of the catheter at the SPJ during the endovenous treatment. Three respondents performed endovenous thermal ablation (ETA) without tumescent instillation, and three injected tumescent solutions without ultrasound guidance. Twelve respondents performed high ligation during the ETA.
Conclusion
We verified various approaches to managing SSV among the Korean Society for Phlebology members. Evidence-based practical guidelines and education regarding the management of SSV are necessary for proper management.

Keyword

Saphenous vein; Duplex ultrasonography; Stripping; Radiofrequency; Varicose veins