Treatment of primary femoral venous valular incompetence by encircling wrapping venous valvular sinus

From February 1987 to January 1989, 16 cases （17 limbs） of primary femoral venous valvular incompetemce were treated by encircling wrapping first pair of superficial femoral venousvalvular sinus. Method of operation consists of: saphenous vein was Iigated, exposing the first valves of the superficial femoral vein, cutting the harvested saphenous vein in-to one or two, or three segments, the length of them being just same as the venous sinus, which were wrapped, and putting two or three of them together, sutured side by side. Then the venous piece encircling wrapping was done with a suture just below the valve and was hastened to a vein 0.1—0.2cm smaller than the original spasmodic femoral vein. Function of valve was tested by pressure. If it is normal, the edges of the venous piece are sutured and wrapped around the whole valvular sinus. The superficial varicose veins, and all the perforating veins, external or under the deep fasia of the lower leg were stripped. This operation did not injure venous wall and valves, and did not require anticoagulant therapy postoperatively.
Postoperative follow-up study for 1—23 months demonstrated that all limbs do not need external support three weeks later and patients can return to normal work. The signs over the limbs disappear, and ulcers have not recurred. As compared with other procedures reported in literatures, the results showed that this operation seems to be reasonable (or the treatment of primary femoral venous valvular incompetence.