| Local versus general anaesthesia for varicose veins surgery: a prospective non-randomized controlled trial. | |
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MedLine Citation:
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PMID: 19299273 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the acceptability and outcome of primary varicose vein (VV) surgery (saphenofemoral or saphenopopliteal ligation/excision) under local anaesthesia (LA) with that of general anaesthesia (GA). METHODS: A non-randomized controlled trial of consecutive patients treated between April 2004 and March 2006 was performed. After complete informed consent individual patients were asked to select their preferred form of anaesthesia (LA or GA). Preoperative disease status and co-morbidities were recorded. Outcomes were assessed perioperatively and at six weeks and six months postoperatively using patient scoring systems including the Aberdeen varicose veins severity score (AVVSS). RESULTS: Seventy-two (LA 46[62%] and GA 26[38%]) patients participated; median (range) age was 48 (21-74) years versus 36 (21-59) years (P = 0.0164), respectively. All procedures were performed as day cases. Median postoperative pain scores for LA and GA did not differ at 12 hours (4 versus 4; P = 0.48) and four days (5 versus 6; P = 0.44). Median improvement in the AVVSS at six weeks and six months for LA and GA cohorts were 5.7 versus 6.1 (P = 0.875) and 6.5 versus 8.3 (P = 0.131), respectively. Overall patient satisfaction did not show any intergroup difference at six weeks. CONCLUSIONS: Surgical treatment of VV under LA can be performed safely with comparable results to GA in self-selected patients. |
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Authors:
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M L Wall; C Dealey; R S M Davies; M H Simms |
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Publication Detail:
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Type: Comparative Study; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Phlebology / Venous Forum of the Royal Society of Medicine Volume: 24 ISSN: 0268-3555 ISO Abbreviation: Phlebology Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-20 Completed Date: 2009-06-09 Revised Date: 2009-08-19 |
Medline Journal Info:
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Nlm Unique ID: 9012921 Medline TA: Phlebology Country: England |
Other Details:
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Languages: eng Pagination: 61-6 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, University Hospital Birmingham NHS Foundation Trust, B17 8DP, UK. mikewall001@btinternet.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anesthesia, General* Anesthesia, Local* Humans Ligation Middle Aged Pain Measurement Pain, Postoperative / prevention & control Patient Satisfaction Prospective Studies Saphenous Vein / surgery*, ultrasonography Severity of Illness Index Time Factors Treatment Outcome Ultrasonography, Doppler, Duplex Varicose Veins / surgery*, ultrasonography Vascular Surgical Procedures* / adverse effects Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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