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Invited Critique
October 1998

Inadvertent Arterial Injury During Saphenous Vein Stripping—Invited Critique

Author Affiliations

Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Surg. 1998;133(10):1123. doi:10.1001/archsurg.133.10.1123

The authors draw our attention to a catastrophic complication of saphenous vein stripping. This event has been whispered about in anecdotal fashion and only 3 reports exist in the recent English-language literature.

The results of the authors' heroic reconstructions are to be commended. The difference between this and other reports is that the anatomy has been clearly defined. As the authors point out, once the accident has occurred prompt diagnosis and proper surgical management may prevent irreversible damage. The authors also discuss the occasional leg pain that can arise following venous surgery, including pain arising from skin incisions, extensive tissue dissection, and tight bandages. In my experience, the latter is a particularly important cause of leg pain. Rarely with subfascial endoscopic perforation surgery an occasional episode of subfascial bleeding with compartment syndrome may occur.

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