Document Detail


Comparison of recurrence rate and hemodynamic effect among various technical approaches for ligations of great saphenous vein in treatment of varicose veins.
MedLine Citation:
PMID:  17323294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to compare the recurrence rate and hemodynamic effect retrospectively among various technical approaches for ligations of the great saphenous vein in the treatment of primary varicose veins.
PATIENTS AND METHODS: 455 limbs with primary uncomplicated great saphenous varicose veins, which underwent ligations of the great saphenous vein followed by sclerotherapy, were classified into 5 groups according to different ligation techniques. The recurrence rate and hemodynamic effect, evaluated by the photoplethysmographic technique, were compared among the 5 groups at one year intervals up to 5 years.
RESULTS: The 3-ligation technique, in which the great saphenous vein was resected at the groin, thigh, and calf, showed a significantly lower recurrence rate at the 5-year follow-up. The recurrence rates were 27.7, 62.0, 58.5, and 91.9% in the 3-ligation group, 2-ligation group at the groin and thigh, 2-ligation group at the thigh and calf, and 1-ligation group at the thigh, respectively. A lower hemodynamic improvement was observed in the latter two groups. A significantly higher recurrence rate was shown even in the 3-ligation group, when all tributaries were not dissected at the sapheno-femoral junction (50.2 vs. 27.7%, p<0.01).
CONCLUSIONS: The 3-ligation technique followed by sclerotherapy, which includes the resection of the great saphenous vein for as long as possible, and dissection of all tributaries at the groin, thigh, and calf, is one of the important choices of minimum invasive treatments for varicose veins, although this technique is not a fully alternative procedure to the stripping operation.
Authors:
M Hirai; H Iwata; N Sawazaki
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  36     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-26     Completed Date:  2007-05-30     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  23-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Aichi Prefectural Nursing College, Nagoya, Japan. hiraim@aichi-nurs.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Combined Modality Therapy
Female
Humans
Male
Middle Aged
Outcome and Process Assessment (Health Care)
Postoperative Complications / etiology*,  ultrasonography
Recurrence
Retrospective Studies
Saphenous Vein / surgery*,  ultrasonography
Sclerotherapy
Ultrasonography, Doppler
Ultrasonography, Doppler, Duplex
Varicose Veins / surgery*,  ultrasonography
Venous Insufficiency / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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