{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:59:59Z","timestamp":1791233999572,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T00:00:00Z","timestamp":1773446400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T00:00:00Z","timestamp":1773446400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Same\u2010site recurrence at the sapheno\u2010femoral junction (SFJ) takes up a large amount of the daily practice of phlebologists. Follow\u2010up data for high\u2010ligation and stripping (HL\/S) of the great saphenous vein (GSV) are quite heterogenous and incoherent. This prospective multicentric study was designed to elucidate the outcome after standardized HL\/S with special focus on same site groin recurrences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>A standardized HL\/S of the GSV, including closure of the cribriform fascia, was performed. The primary endpoint was same\u2010site groin recurrence, assessed by clinical examination and duplex ultrasonography. Secondary endpoints were recurrences at different sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>405 patients (519 legs) from six German vein centers were included. 225 patients (287 legs, 55.56%) were available for the five\u2010year follow up examination. 21 legs (7.32%) suffered from clinically apparent varicosis. Same site groin recurrences were detected in five (1.74%) cases, of which only two were clinically relevant. Most clinically apparent varicose veins were caused by perforator insufficiencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The standardized technique of HL\/S including ligation of small tributaries of the common femoral vein near the SFJ as well as the closure of the cribriform fascia as an anatomical barrier shows excellent results after five years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ddg.70012","type":"journal-article","created":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T10:14:01Z","timestamp":1773483241000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Same site recurrence following standardized high ligation and stripping of the great saphenous vein \u2013 5\u2010year results of the LaVaCro 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Center Northeim  Northeim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Flessenk\u00e4mper","sequence":"additional","affiliation":[{"name":"Department of vascular surgery HELIOS Klinikum Emil von Behring  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"J\u00fcnger","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietmar","family":"Stenger","sequence":"additional","affiliation":[{"name":"Vein Center Saarlouis  Saarlouis Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9636-5108","authenticated-orcid":false,"given":"Dominic","family":"M\u00fchlberger","sequence":"additional","affiliation":[{"name":"Interdisciplinary vein center of the dermatological and vascular surgery clinics, Catholic Hospital of 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