Anterior Accessory Great Saphenous Vein: Common Cause of Recurrent Varicose Veins

Document Type : Original Article

Authors

1 Departments of Vascular and Endovascular, Faculty of Medicine, Mansoura University, Mansoura, Egypt

2 Departments of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Abstract

Background: Varicose veins are a prevalent vascular condition affecting a significant portion of the population. Recurrence
after surgical treatment is a common concern. often attributed to the presence of an incompetent anterior accessory great
saphenous vein (AAGSV). This research elucidated and evaluated the impact of AAGSV reflux as a significant cause of
recurrent varicose veins in the lower limbs.
Patients and Methods: This observational, retrospective study analyzed 80 patients with varicose. Preoperative duplex
ultrasound, clinical examination, and demographic data were collected. Patients underwent various treatment modalities,
and recurrence rates, sites, and associated symptoms were evaluated.
Results: The mean age was 43.4 ±9.59 years, with a higher proportion of females (61.25%). Preoperatively, 65% had
anterior saphenous vein involvement, with a mean diameter of 4.4±1.25 mm. The most common site of recurrence was
the AAGSV (37.5%), followed by the great saphenous vein (21.25%). The mean time to recurrence was 2.4±0.76 years,
with symptoms like visible varicosities (88.75%), edema (31.25%), and pain (27.5%). Procedures after recurrence were
predominantly Endovenous laser ablation (71.25%), followed by surgery (26.25%) and radiofrequency ablation (2.5%).
Conclusions: The AAGSV significantly contributes to recurrent varicose veins, emphasizing the importance of
comprehensive preoperative assessment and appropriate treatment to improve patient outcomes.

Keywords

The Egyptian Journal of Surgery
Volume 44, Issue 2
April 2025
Pages 556-561

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