{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:45:44Z","timestamp":1777916744293,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examines the role of the inguinal lymph node venous network (LNVN) in recurrent varicose veins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy-five patients with recurrent varicose veins were assessed using color Doppler ultrasound and dynamic lymph node venography. Primary outcomes included LNVN reflux identification, and secondary outcomes analyzed recurrence rates and associations with venous pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      LNVN involvement was detected in 41.3% of cases, significantly correlating with shorter recurrence-free intervals (median: 8\u00a0months vs 12\u00a0months,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04). Coexisting risk factors included neovascularization (18.2%), incomplete treatment (25%), and inadequate surgical technique (13.6%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LNVN reflux is a significant contributor to varicose vein recurrence, with distinct imaging features that should be integrated into routine diagnostic protocols. Further research is needed to establish standardized diagnostic criteria and optimize management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555251332992","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T14:59:09Z","timestamp":1744124349000},"page":"694-701","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Overlooked and neglected aspects in the management of recurrent lower extremity venous insufficiency: Unveiling the significance of the lymphatic venous network"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5714-2294","authenticated-orcid":false,"given":"Fatemeh","family":"Azizi","sequence":"first","affiliation":[{"name":"Radiology, Sultan 2. Abdul Hamid Han Educational and Research Hospital, \u00dcsk\u00fcdar, Turkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zafer Unsal","family":"Coskun","sequence":"additional","affiliation":[{"name":"Radiology, Sultan 2. Abdul Hamid Han Educational and Research Hospital, \u00dcsk\u00fcdar, Turkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/026835559901400306"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(96)80011-6"},{"issue":"5","key":"e_1_3_5_4_2","first-page":"263","article-title":"Veines lympho-ganglionnaires inguinales: aspects anatomiques et \u00e9chographiques","volume":"52","author":"Lemasle P","year":"1999","unstructured":"Lemasle P, Uhl JF, Lefebvre-Vilardebo M, et al. Veines lympho-ganglionnaires inguinales: aspects anatomiques et \u00e9chographiques. Phlebologie 1999; 52(5): 263\u2013269.","journal-title":"Phlebologie"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355516689631"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355515585039"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/02683555241238770"},{"issue":"2","key":"e_1_3_5_8_2","first-page":"53","article-title":"The saphenous venous tributaries and related structures in relation to the technique of high ligation; based chiefly upon a study of 550 anatomical dissections","volume":"82","author":"Eh D","year":"1946","unstructured":"Eh D, Anson BJ. The saphenous venous tributaries and related structures in relation to the technique of high ligation; based chiefly upon a study of 550 anatomical dissections. Surg Gynecol Obstet 1946; 82(2): 53\u201363.","journal-title":"Surg Gynecol Obstet"},{"issue":"1","key":"e_1_3_5_9_2","first-page":"52","article-title":"Veno-lymphatic angiodysplasia as the cause of recurrent inguinal varicose veins","volume":"26","author":"Kohler A","year":"1997","unstructured":"Kohler A, Dirsch O, Brunner UV. Veno-lymphatic angiodysplasia as the cause of recurrent inguinal varicose veins. Vasa 1997; 26(1): 52\u201354.","journal-title":"Vasa"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.09.014"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2011.03.013"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555251332992","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555251332992","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555251332992","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:55:37Z","timestamp":1777658137000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555251332992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,8]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1177\/02683555251332992"],"URL":"https:\/\/doi.org\/10.1177\/02683555251332992","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,8]]}}}