Peroperative Venography in Sapheno-Popliteal Ligation: Still a Useful Technique

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Abstract
Objective: To establish the efficacy of peroperative venography in identifying the use of the sapheno-popliteal junction during varicose vein surgery. Design: Single patient group. Setting: District General Hospital, Edgware, Middlesex, UK. Patients: Forty-one patients undergoing sapheno-popliteal ligation for varicose veins of the lower limb. Interventions: Surgical exploration and ligation of the sapheno-popliteal junction. Main outcome measures: Peroperative venographic demonstration of the short saphenous vein and sapheno-popliteal junction. Results: Thirty-four sapheno-popliteal junctions (85%) lay at a site approachable by a conventional incision. Five junctions lay higher than this and one lower. Conclusions: On-table venography is an efficient, quick and reliable way of demonstrating the anatomical site of the sapheno-popliteal junction.