Document Detail


Local versus general anaesthesia for varicose veins surgery: a prospective non-randomized controlled trial.
MedLine Citation:
PMID:  19299273     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M L Wall; C Dealey; R S M Davies; M H Simms
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Publication Detail:
Type:  Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Phlebology / Venous Forum of the Royal Society of Medicine     Volume:  24     ISSN:  0268-3555     ISO Abbreviation:  Phlebology     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-20     Completed Date:  2009-06-09     Revised Date:  2009-08-19    
Medline Journal Info:
Nlm Unique ID:  9012921     Medline TA:  Phlebology     Country:  England    
Other Details:
Languages:  eng     Pagination:  61-6     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Hospital Birmingham NHS Foundation Trust, B17 8DP, UK. mikewall001@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
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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