Santhini Arulsevli Kaliyaperumal1, Kalaivannan Jayaraman2, Udaya Sankari Tamilarasan3, Indhu Priyadharshini Rajaraman4
BACKGROUND The liability of the superficial venous system of the lower limbs to varicosity has naturally attracted the attention of Clinicians and Surgeons. Variations in the superficial veins of the lower limb are very common. The extent of such variations, their connections are usually described. Out of all the veins of the lower limb, the long saphenous and the small saphenous veins mark the major attraction clinically. Both the veins belong to superficial set of the veins, lie in the superficial fascia and possess valves.
The long (great) saphenous vein, being the longest vein in the body, begins as a continuation of the medial marginal vein of the foot and ends in the femoral vein distal to the inguinal ligament. It ascends in front of the medial malleolus followed by passing obliquely across the medial surface of the tibia. In the upper part of the leg, it is accompanied by saphenous nerve and finally opens into the femoral vein after passing through the saphenous opening. The short saphenous vein can be the natural choice for coronary arterial bypass surgery, and also can be used in arterial reconstruction. The look for the variation in the termination of short saphenous vein should be taken into account before performing any varicose surgeries. This paper puts in a sincere effort to check the variations of termination of short saphenous vein and thus help the surgeons in betterment of the techniques used for various surgeries.
METHODS
One hundred specimens were studied in the Department of Anatomy, Vinayaka Mission’s Medical College and Hospital, Karaikal. The skin, superficial fascia and the deep fascia was carefully reflected and the formation of the small saphenous vein was identified. The course was followed and finally the termination was identified and noted. The variations in the termination were identified and a note was made.
RESULT
In the present study, 68% of the cases had type 2 and 38% of the cases had type 1. The other variations were not observed.
In the present study, 18% and 46% were of type 1 and type 2 respectively in males. In females, type 1 was of 14% and type 2 was seen in 22% of the cases.
In the present study, 17% and 66% were of type 1 and type 2 respectively on the right side. On the left side, type 1 was of 15% and type 2 was seen in 2% of the cases.
CONCLUSION
This thigh extension of the short saphenous vein (Giacomini vein) can be the natural choice for coronary arterial bypass surgery, and also can be used in arterial reconstruction. The look for the variation in the termination of short saphenous vein should be taken into account before performing any varicose surgeries.
