The anatomical relationship between the saphenous nerve and the long saphenous vein

Authors

VEVERKOVÁ Lenka JEDLIČKA Václav VLČEK Petr KALAČ Jan

Year of publication 2011
Type Article in Periodical
Magazine / Source Phlebology
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1258/phleb.2010.010011
Field Surgery incl. transplantology
Keywords anatomical relationship; saphenous nerve; long saphenous vein
Description Objective: Damage to the saphenous nerve -SN- has been a known complication during varicose vein surgeries. We tested whether a better knowledge of the anatomy of the SN and the long saphenous vein- LSV- can prevent such damage. Methods: We conducted a morphological and histological examination on 86 limbs from 43 cadavers in order to analyse the anatomical interrelation between the SN and the LSV in the lower leg and we also measured the distance between the nerve and the vein in a sample of 42 sections from three parts of the lower leg. Results: The anatomical relationship between the SN and the LSV is varied and the two structures run close to each other so a better knowledge of their anatomy in itself proved insufficient in preventing damage to the SN. Conclusion: However, in the case of endovenous laser therapy and radiofrequency ablation tumescent anaesthesia decreases the risk of damage to the SN.

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