| 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 |
Related Documents
:
|
20440855 - Prophylaxis for venous thromboembolism after resection of hepatocellular carcinoma on c... 11242805 - Clinical results of the transjugular intrahepatic portosystemic shunt (tips) for the tr... 11138835 - Thermal cautery after chalazion surgery and its effect on recurrence rates. 18353385 - Surgical outcomes after modified antegrade scrotal sclerotherapy: a prospective analysi... 22401315 - Carvedilol or propranolol in portal hypertension? a randomized comparison. 20004595 - Arthroscopic capsular release for refractory shoulder stiffness: a critical analysis of... |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Does intraoperative hepatic ultrasonography change surgical decision making during liver resection?
Next Document: Is resection with primary anastomosis following destructive colon wounds always safe?