The Impact of the Short Saphenous Vein's Junction with Deep Venous System on Short Saphenous Vein Incompetence and Reflux: A Doppler Ultrasound Analysis

The presence of reflux at the saphenofemoral and saphenous popliteal junctions is an important piece of information that can be used to determine whether or not varicose vein surgery is necessary. It has been found through research that the junctions are competent in the majority of people who suffer from chronic venous insufficiency; nonetheless, reflux occurs in segments that are located along the saphenous veins. The SSV can drain into the PV in the popliteal fossa in fifty percent of the cases; however, it can also drain into the GSV, the inferior gluteal vein, or the FV. As a result of my work with a large number of patients who suffer from chronic lower limb venous insufficiency, I have discovered that the majority of individuals who have an SSV that terminates in the PV at the popliteal fossa are prone to developing reflux and incompetence. On the other hand, individuals who have an alternative termination are significantly less likely to develop these conditions. Greyscale superficial ultrasonography is utilized in my research to evaluate the thickness of the SSV wall, lumen clarity or internal thrombosis, phlebitis, and termination mode. This helps to provide evidence in favor of the hypothesis. Following that, you should perform a color and spectral Doppler ultrasonography with and without augmentation to check for reflux, which is an indication of incompetence.