High crossectomy without vascular sectioning vs classic saphenectomy. Randomized clinical trial: analysis of recurrent varicose veins.
| Autor: | Cañizares Díaz I, Arrobas Velilla T; Facultad de Medicina, Universidad Autónoma de Chile, Chile. tresaarrobasvelilla@hotmail.com., Illescas Rodríguez M, Martín Martín JM |
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| Jazyk: | angličtina |
| Zdroj: | Anales del sistema sanitario de Navarra [An Sist Sanit Navar] 2013 Sep-Dec; Vol. 36 (3), pp. 419-27. |
| DOI: | 10.4321/s1137-66272013000300007 |
| Abstrakt: | Background: This study was designed with the aim of defining a new surgical procedure for varicose veins and for comparison with classic crossectomy in terms of reducing the recurrence rate of varicose veins. Material and Methods: Double-blind randomized clinical trial. For easy access, we selected 150 patients who came to the Phlebology Consultation Unit meeting inclusion criteria. With their informed consent, they were included in a study group using random table numbers. Group 1: (CS) Classic saphenectomy, 75 patients. Group 2: (HCWVS) High crossectomy without vascular sectioning. Both groups were monitorised at 12 and 24 months by Eco-Doppler study. Results: The incidence of varicose vein recurrence at 12 month follow-up was 69.3% in the group of patients undergoing CS, while in the group receiving HCWVS it was 29.3% (p <0.0001). These differences, though minor, remained statistically significant at 24 months of evolution (76% vs. 48%, p = 0.0004). The most common recurrence type was type I, with statistically significant differences at 12 and 24 months. Conclusions: We believe that saphenectomy with crossectomy without vascular sectioning is the appropriate procedure to treat varicose veins, reducing type 1 or reticular relapse rate and maintaining the principles of classic surgery to reduce type 2 or truncular recurrence rate. This technique should be implemented with procedures based on saphenous sclerosis with foam art the saphenous femoral junction, in order to assess the recurrence rate of type 2 or truncular varicose veins. |
| Databáze: | MEDLINE |
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