Document Detail


Randomized trial of stripping versus high ligation combined with sclerotherapy in the treatment of the incompetent greater saphenous vein.
MedLine Citation:
PMID:  7943585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This prospective randomized study compared the treatment of greater saphenous vein insufficiency by stripping and local avulsions of varicose veins with high ligation of the saphenofemoral junction (crossectomy) combined with sclerocompression therapy. Of 156 consecutive patients, 89 legs were randomly allocated to stripping and 92 to high ligation. At follow-up of 3 months and 1, 2, and 3 years after treatment, clinical and Doppler ultrasound results, and complaints and cosmetic results, as judged by the patient and the surgeon, were scored. At 3 years, 69 limbs in the stripping group (78%) and 73 limbs in the ligation group (79%) were available to follow-up. The cosmetic results, both judged by the patient and the surgeon, were significantly better (P < 0.05) in the stripped limbs than in the limbs with high ligation and sclerotherapy. Clinical and Doppler ultrasound evidence of reverse flow in the saphenous vein was significantly less (P < 0.001) after the stripping operation. The results of treatment of isolated saphenous vein insufficiency by stripping operation, therefore, were superior to those obtained by high ligation combined with sclerotherapy.
Authors:
P H Rutgers; P J Kitslaar
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of surgery     Volume:  168     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-11-10     Completed Date:  1994-11-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  311-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University Hospital, Maastricht, State University Limburg, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Combined Modality Therapy
Female
Femoral Vein / physiopathology,  surgery,  ultrasonography
Follow-Up Studies
Humans
Ligation
Male
Prospective Studies
Regional Blood Flow
Saphenous Vein / physiopathology,  surgery*,  ultrasonography
Sclerotherapy*
Surgical Procedures, Operative / methods
Time Factors
Treatment Outcome
Ultrasonography, Doppler
Varicose Veins / complications,  physiopathology,  therapy*,  ultrasonography
Venous Insufficiency / complications,  physiopathology,  therapy*,  ultrasonography

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


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