Ligation of the saphenofemoral junction tributaries as risk factor for groin recurrence

Abstract Objective The aim of this study was to compare the recurrence rate after high ties performed with or without sparing of the saphenofemoral junction tributaries. Methods There were 867 lower limbs enrolled. All patients underwent a high tie with (group A) or without (group B) ligation of all the junctional tributaries for a great saphenous vein reflux (C2-5EpAsPr). A duplex ultrasound examination detected recurrences. Results Median follow-up was 5 years (interquartile range, 3-8 years). Group A had a higher recurrence rate than group B (odds ratio, 7.52; P P P Conclusions Ligation of the junctional tributaries is associated with a higher recurrence risk. Further investigations are needed to determine the hemodynamic role of each single junctional tributary.