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Short saphenous territory- Anatomy of recurrences following
saphenopopliteal junction ligation - Subfascial ectasia of the
saphenopopliteal junction
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Anevrysmal dilatation can occur in the short saphenous vein at the saphenopopliteal junction
(Figure 103).This dilatation can make a ligation flush with the popliteal vein particularly difficult.
In this case, recurrence is related to an anatomical factor accentuating the hemodynamic factor.
Varicose veins will then develop not on a perforating vein of the popliteal fossa independent
of the short saphenous vein, but on the stump of the ectatic saphenopopliteal junction. For example,
figure 104 illustrates an early recurrence, occurring 5 months after saphenopopliteal junction ligation and short saphenous vein stripping.
 Further reading
Blanchemaison Ph. La physiopathologie veineuse. Phlébologie, 1995; 48:
87-8.
Davy A., Ouvry P. Recurrence of varicose veins. Phlebology, 1986; 1: 15-21.
Hobbs J. The treatment of venous disorders. MTP, Lancaster, 1977: 159-201.
Perrin M. L'insuffisance veineuse chronique des membres inférieurs. MEDSI,
Paris, 1990.
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