PROLENE MESH CORSET FUNCTIONAL REPAIR OF SAPHENO-FEMORAL JUNCTION: AN EVOLUTION OF THE EXTERNAL BANDING VALVULOPLASTY.

CHONG CF^1,3, CHIEW SSL², CHONG VH³

¹Department of General Surgery, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.

²Pengiran Anak Puteri Rashidah Saaidatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei Darussalam.

³Clinical Research Unit, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.

ABSTRACT

Chronic venous insufficiency is a fairly common and debilitating problem, affecting over half of the adult population in the western world. Besides being unsightly, patients complain of significant pain, heaviness, tightness, itchiness of the affected leg with prolonged standing. If left untreated, the condition can progress to skin discolouration, ulceration and sclerosing scar formation. Current treatment is mostly aimed at cosmesis and symptoms relief with compression stocking, varicose vein stripping and endovascular ablation, which mainly deals with the dilated varicose veins but not the primary pathology of vavular incompetence. There are several surgeries designed to repair and correct the valvular incompetence but the uptake of these surgeries is poor, partly due to their procedural complexity or availability of specialised exo-stents. We have developed a single innovative technique which we called Prolene mesh corset repair for correcting saphenofemoral junction incompetence and the early results have been promising.

Keywords: External valvular banding, Prolene mesh corset repair, Surgical treatment, Venous insufficiency, Varicose veins, Valvuloplasty.

Corresponding author: Dr Chee Fui CHONG, Department of General Surgery, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam. Tel: +673-2242424 Ext 6280. Email: william.chong@moh.gov.bn/chong_chee_fui@hotmail.com

Brunei Int Med J. 2019;15:104-109