| Recovery after ultrasound-guided foam sclerotherapy compared with conventional surgery for varicose veins. | |
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MedLine Citation:
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PMID: 19847864 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The advantages of minimally invasive alternatives such as ultrasound-guided foam sclerotherapy (UGFS) over conventional surgery for the treatment of varicose veins include lower morbidity and faster recovery times. The aim was to compare morbidity, analgesia use, and time to return to driving and work following UGFS with those reported after conventional surgery for varicose veins. METHODS: Patients who had UGFS or surgery for varicose veins were sent a questionnaire 4 weeks after treatment. RESULTS: A total of 332 (84.9 per cent) of 391 patients who had UGFS and 53 (56 per cent) of 94 who had surgery returned a questionnaire. The groups were similar in terms of age, sex, and the proportion who had treatment of bilateral or recurrent veins. Patients who had surgery were more likely to have significant bruising (44 versus 7.2 per cent; P < 0.001) and pain (17 versus 5.5 per cent; P = 0.001). After UGFS, 43.2 per cent of patients returned to work within 24 h compared with none who had surgery (P < 0.001). Patients who had UGFS were more likely to return to driving within 4 days (P = 0.014). CONCLUSION: UGFS was associated with less pain and analgesia requirement, time off work and quicker return to driving. |
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Authors:
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K A L Darvall; G R Bate; D J Adam; A W Bradbury |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: The British journal of surgery Volume: 96 ISSN: 1365-2168 ISO Abbreviation: Br J Surg Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-27 Completed Date: 2009-12-03 Revised Date: 2010-02-22 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 1262-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Vascular Surgery, Birmingham University, Heart of England NHS Trust, Birmingham, UK. katydarvall@btinternet.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Automobile Driving Contusions / etiology Female Humans Leg / blood supply Male Middle Aged Pain, Postoperative / etiology Questionnaires Recurrence Saphenous Vein Sclerosing Solutions / therapeutic use* Sclerotherapy / methods* Treatment Outcome Ultrasonography, Interventional Varicose Veins / surgery, therapy* |
| Chemical | |
Reg. No./Substance:
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0/Sclerosing Solutions |
| Comments/Corrections | |
Comment In:
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Br J Surg. 2010 Mar;97(3):457; author reply 457-8
[PMID:
20140886
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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