Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Great saphenous vein is the largest and thickest walled superficial vein of the lower limb. It ascends on the medial border of the tibia to the posteromedial surface of the knee and inclines anteriorly over the thigh to enter the femoral vein through the saphenous opening. The centre of the opening is 2.5‐3.5 cm inferolateral to the pubic tubercle. Among various venous anatomical variations in lower limbs, most important and significant variations occur at the saphenofemoral junction. The study was conducted on 80 surgical cases who underwent Trendelenburg surgery and in 30 cadavers from the department of Anatomy. The specimens were dissected according to the steps in Cunningham’s Manual of Practical Anatomy. Saphenofemoral junction was studied in detail with emphasis on number of tributaries, variation in the drainage pattern of tributaries, duplication of great saphenous vein and age‐related histological changes. Data obtained were consolidated, statistically evaluated using SPSS software version 16 and results obtained were represented using charts and tables. According to the study varicosity of the great saphenous vein was more prevalent in the age group 41‐50 years (25%). The number of tributaries at the SFJ varied from 1‐7 with highest frequency of three tributaries in 57% of cases. Distance of saphenofemoral junction from pubic tubercle varied from 2.60‐4.20 cm. Duplication of great saphenous vein was noted in 16.7% of cadavers. In 66.7% of cases draining pattern was normal. The thickness of tunica intima varied from 39.41‐74.03 micrometre and was found to increase as age advanced. A significant variation of tributaries at the saphenofemoral junction and age related histological changes were noted. Although knowledge in venous anatomy and variations may not be necessary in conservative approach, interventional treatment modalities may necessitate expertise. Hence, if important anatomical variations are not recognised, surgical or less invasive procedures might result in incomplete saphenofemoral junction surgery.
How to cite this article:
Jinu. T. Eldho, R. S. Praveen, Ananthapadmanabhan and Kiran Gopal. Anatomical Study of Tributaries Draining at the Saphenofemoral Junction.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.70.76
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.70.76