Original Articles
Vol. 14 (2025): Early Access
https://doi.org/10.4081/vl.2025.13415

Groin recurrences after surgical and endovascular treatments of varicose veins in the territory of the greater saphenous vein: a coherent hypothesis to explain their occurrence

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Received: 22 November 2024
Accepted: 14 February 2025
Published: 13 March 2025
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Groin recurrences, cavernomas, crossectomy, crossotomy, endovascular procedures

Authors

Massimo Cappelli
mascappelli@gmail.com
https://orcid.org/0000-0002-9166-0172
Private practice, Florence, Italy.
Raffaele Molino Lova
https://orcid.org/0000-0001-9835-9262
Private practice, Florence, Italy.
Mauro Pinelli
https://orcid.org/0000-0003-0941-9759
Private practice, Avezzano (AQ), Italy.
Claude Franceschi
Hôpital Saint Joseph, Paris, France.

Surgical and endovascular procedures to treat varicose veins in the territory of the Greater Saphenous Vein (GSV) are burdened by a variable rate of groin recurrences. In the case of surgical procedures, they are due to the development of tortuous vessels leading to the formation of a cavernoma in the site of the previous Saphenous-Femoral Junction, after crossectomy, or to a by-pass of the metallic clip, after crossotomy. In the case of endovascular procedures, groin recurrences are, instead, mainly represented by rectilinear vessels due to the progression of the incompetence within an antigravitational Sapheno-Femoral Junction (SFJ) tributary, most often the Anterior Saphenous Vein (ASV), and rarely by tortuous vessels leading to the formation of a cavernoma in the distal part of the stump always resulting from the procedure.

In this paper we suggest a coherent hypothesis to explain the occurrence of groin recurrences after surgical and endovascular procedures based upon experimental studies and observational data. Recurrences due to pelvic shunts or to incompetent thigh perforator veins, are not considered.

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Groin recurrences after surgical and endovascular treatments of varicose veins in the territory of the greater saphenous vein: a coherent hypothesis to explain their occurrence. (2025). Veins and Lymphatics, 14. https://doi.org/10.4081/vl.2025.13415
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