{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:05:06Z","timestamp":1753887906562,"version":"3.41.2"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo  Contexto Atualmente, recomenda-se como primeira op\u00e7\u00e3o cir\u00fargica de varizes a termoabla\u00e7\u00e3o da veia safena; por\u00e9m, esse procedimento n\u00e3o \u00e9 realizado pelo Sistema \u00danico de Sa\u00fade do Brasil. Como forma de incluir melhores resultados, t\u00e9cnicas cir\u00fargicas esfor\u00e7am-se para mimetizar as novas tecnologias sem seus custos, sendo a principal delas a realiza\u00e7\u00e3o da safenectomia convencional sem ligadura das suas tribut\u00e1rias.  Objetivos Avaliar a evolu\u00e7\u00e3o do coto residual ap\u00f3s safenectomia sem ligadura alta da jun\u00e7\u00e3o safeno-femoral associada \u00e0 invagina\u00e7\u00e3o do mesmo, assim como avaliar o comportamento das veias acess\u00f3rias anterior\/posterior.  M\u00e9todos Estudo prospectivo e intervencionista. Foram operados 52 membros pela t\u00e9cnica de safenectomia sem ligadura alta da jun\u00e7\u00e3o safeno-femoral seguida da invagina\u00e7\u00e3o do coto residual. Os pacientes foram avaliados no pr\u00e9 e p\u00f3s-operat\u00f3rio (7 dias, 3, 6 e 12 meses) atrav\u00e9s de ultrassonografia vascular com Doppler para an\u00e1lise de di\u00e2metro e extens\u00e3o do coto residual, di\u00e2metro e refluxo na veia acess\u00f3ria anterior\/posterior e presen\u00e7a de neovasculariza\u00e7\u00e3o. A an\u00e1lise estat\u00edstica foi realizada por m\u00e9dia, desvio padr\u00e3o, mediana, valor m\u00ednimo e m\u00e1ximo, frequ\u00eancias e percentuais, teste de Fisher e bimodal.  Resultados Evidenciou-se um efeito significativo do tempo sobre a medida de di\u00e2metro (p &lt; 0,001) e da extens\u00e3o (p = 0,002) do coto residual, por\u00e9m o mesmo n\u00e3o foi observado quanto ao di\u00e2metro (p = 0,355) ou refluxo na veia acess\u00f3ria anterior. Foi identificada neovasculariza\u00e7\u00e3o em 7 (14,3%) membros.  Conclus\u00f5es Ap\u00f3s a utiliza\u00e7\u00e3o da t\u00e9cnica descrita, o coto residual apresentou retra\u00e7\u00e3o e diminui\u00e7\u00e3o do seu di\u00e2metro no per\u00edodo de 1 ano e n\u00e3o transmitiu refluxo para veia acess\u00f3ria. As taxas de neovasculariza\u00e7\u00e3o foram condizentes com a literatura.<\/jats:p>","DOI":"10.1590\/1677-5449.210029","type":"journal-article","created":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T20:17:42Z","timestamp":1625516262000},"source":"Crossref","is-referenced-by-count":1,"title":["Avalia\u00e7\u00e3o do coto residual ap\u00f3s 12 meses de safenectomia sem ligadura alta da jun\u00e7\u00e3o safeno-femoral"],"prefix":"10.1590","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5441-8937","authenticated-orcid":false,"given":"Giovanna Golin","family":"Guarinello","sequence":"first","affiliation":[{"name":"Hospital Santa Casa de Curitiba,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5839-9737","authenticated-orcid":false,"given":"Francisco Eduardo","family":"Coral","sequence":"additional","affiliation":[{"name":"Hospital Santa Casa de Curitiba,  Brasil; Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Rufino Ribas","family":"Timi","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah Folly","family":"Machado","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1590\/1806-9282.64.08.729","article-title":"Clinical, ultrasonographic and histological findings in varicose vein surgery","volume":"64","author":"Porciunculla MM","year":"2018","journal-title":"Rev Assoc Med Bras"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1590\/1516-3180.2018.0003240418","article-title":"Evidence for 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