[Phlebectomies or foam sclerosis for treatment of the distal venous segment in the 3-S saphenectomy technique].

Autor:	Selles Dechent R; Servicio de Cirugía General. Hospital Arnau de Vilanova. Valencia. España., Arenas Ricart J, Ballester Ibáñez C, Pérez Monreal J, González Vila S, Ruiz del Castillo J
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2008 Aug; Vol. 84 (2), pp. 92-9.
DOI:	10.1016/s0009-739x(08)72141-9
Abstrakt:	Introduction: The aim of this study was to compare the recurrent rates of varicose veins after treatment with two surgical techniques: 3-S saphenectomy and 3-S saphenectomy with distal sclerosis. Patients and Method: 105 patients with trunk varicose veins were randomly assigned. The control group consisted of 51 patients who underwent the 3-S saphenectomy technique (the sapheno-femoral junction sclerosis with foam, saphenectomy and distal phlebectomies); test group: 3-S saphenectomy with distal sclerosis technique (the sapheno-femoral junction sclerosis with foam, saphenectomy and distal segment sclerosis). Results: Overall recurrence: group I 35.3%, group II 57.4% (p < 0.001). Trunk recurrence: group I 17.7%, group II 38.9% (p = 0.028). Collateral recurrence: group I 9.8%, group II 11.1% (p = 1). Perforator vein recurrence: group I 5.9%, group II 5.6% (p = 1). Reticulated recurrence: group I 2%, group II 1.9% (p = 1). Conclusions: The substitution of Müller phlebectomy instead of foam sclerosis, is not a better treatment of the distal venous segment, and has a greater recurrence rate. The 3-S saphenectomy technique is the most suitable for the treatment for trunk varicose veins.
Databáze:	MEDLINE
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