{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:28:30Z","timestamp":1763036910702},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:p>OBJECTIVE: To evaluate the efficacy of surgical treatment of varicose veins with preservation of the great saphenous vein. METHODS: We conducted a prospective study of 15 female patients between 25 and 55 years of age with clinical, etiologic, anatomic and pathophysiologic (CEAP) classification 2, 3 and 4. The patients underwent surgical treatment of primary varicose veins with great saphenous vein (GSV) preservation. Doppler ultrasonography exams were carried out in the first and third months postoperatively. The form of clinical severity of venous disease, Venous Clinical Severity Score (VCSS) was completed before and after surgery. We excluded patients with history of deep vein thrombosis, smoking or postoperatively use of elastic stockings or phlebotonics. RESULTS: All patients had improved VCSS (p &lt;0.001) and reduction in the diameter of the great saphenous vein (p &lt;0.001). There was a relationship between VCSS and the GSV caliber, as well as with preoperative CEAP. There was improvement in CEAP class in nine patients when compared with the preoperative period (p &lt;0.001). CONCLUSION: The varicose vein surgery with preservation of the great saphenous vein had beneficial effects to the GSV itself, with decreasing caliber, and to the symptoms when the vein had maximum caliber of 7.5 mm, correlating directly with the CEAP. The decrease in GSV caliber, even without complete abolition of reflux, leads to clinical improvement by decreasing the reflux volume.<\/jats:p>","DOI":"10.1590\/0100-69912015002008","type":"journal-article","created":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T23:34:56Z","timestamp":1436398496000},"page":"111-115","source":"Crossref","is-referenced-by-count":9,"title":["Efficacy of varicose vein surgery with preservation of the great safenous vein"],"prefix":"10.1590","volume":"42","author":[{"given":"Bernardo Cunha Senra","family":"Barros","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Luiz de","family":"Araujo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Eduardo Virgini","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raimundo Luiz Senra","family":"Barros","sequence":"additional","affiliation":[{"name":"Hospital Municipal Miguel Couto, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stenio Karlos Alvim","family":"Fiorelli","sequence":"additional","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphaella Ferreira","family":"Gatts","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/S0741-5214(97)70084-3","article-title":"Where does venous reflux starts?","volume":"26","author":"Labropoulos N","year":"1997","journal-title":"J Vasc Surg."},{"issue":"4","key":"ref2","first-page":"635","article-title":"Reporting standards in venous disease: an update","volume":"21","author":"Porter JM","year":"1995","journal-title":"International Consensus Committee on Chronic Venous Disease. J Vasc Surg."},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.jvs.2004.11.014","article-title":"Study of the venous reflux progression","volume":"41","author":"Labropoulos N","year":"2005","journal-title":"J Vasc Surg."},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s00439-010-0812-9","article-title":"Heritability of chronic venous disease","volume":"127","author":"Fiebig A","year":"2010","journal-title":"Hum Genet."},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1053\/svas.2002.30457","article-title":"The epidemiology, pathophysiology, and natural history of chronic venous disease","volume":"15","author":"Tran NT","year":"2002","journal-title":"Semin Vasc Surg."},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1258\/phleb.2007.007027","article-title":"Mechanisms of varicose vein formation: valve dysfunction and wall 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varizes dos membros inferiores e aterosclerose","volume":"6","author":"Ara\u00fajo AL","year":"2007","journal-title":"Rev Angiol Cir Vasc."},{"issue":"4","key":"ref14","first-page":"311","article-title":"A pletismografia a ar avalia a gravidade da insufici\u00eancia venosa cr\u00f4nica","volume":"3","author":"Engelhorn CA","year":"2004","journal-title":"J vasc bras."},{"issue":"4","key":"ref15","first-page":"352","article-title":"Relationship between air-pletismographic venous function and clinical severity in primary varicose veins","volume":"25","author":"Nishibe T","year":"2006","journal-title":"Int Angiol."},{"issue":"2","key":"ref16","first-page":"149","article-title":"Corr\u00e9lation entre l'\u00e2ge, les signes et sympt\u00f4mes de l'insuffisance veineuse superficielle et les r\u00e9sultats de l'exploration \u00e9cho-Doppler","volume":"59","author":"Pittaluga P","year":"2006","journal-title":"Phl\u00e9bologie."},{"issue":"2","key":"ref17","first-page":"175","article-title":"M\u00e9thode ASVAL (Ablation S\u00e9lective de Varices sous Aneth\u00e9sie Locale): principes et r\u00e9sultats pr\u00e9liminaires","volume":"58","author":"Pittaluga P","year":"2005","journal-title":"Phl\u00e9bologie."},{"issue":"6","key":"ref18","doi-asserted-by":"crossref","first-page":"1634","DOI":"10.1016\/j.jvs.2012.02.065","article-title":"Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence","volume":"56","author":"Gibson K","year":"2012","journal-title":"J Vasc Surg."},{"issue":"4","key":"ref19","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1002\/bjs.1800750419","article-title":"Venous reflux: quantification and correlation with the clinical severity of chronic venous disease","volume":"75","author":"Christopoulos D","year":"1988","journal-title":"Br J 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