Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins
| Autor: | Venermo, M., Saarinen, J., Eskelinen, E., Vähäaho, S., Saarinen, E., Railo, M., Uurto, I., Salenius, J., Albäck, A., Suominen, V. P., Vikatmaa, P., Aho, P., Lepäntalo, M., Halmesmäki, K., Laukontaus, S., Weselius, E. M., Vuorisalo, S. |
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| Přispěvatelé: | Clinicum, Verisuonikirurgian yksikkö, Department of Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale medicine.medical_treatment OBLITERATION 030204 cardiovascular system & hematology 030230 surgery Preoperative care law.invention Varicose Veins Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law CONVENTIONAL SURGERY Sclerotherapy Varicose veins Humans Medicine Saphenous Vein Ultrasonography Interventional Aged LIGATION Ultrasonography Doppler Duplex business.industry Endovascular Procedures Great saphenous vein Sclerosing Solutions Perioperative Length of Stay Middle Aged 3126 Surgery anesthesiology intensive care radiology Surgery Treatment Outcome Surgery Computer-Assisted Randomized Clinical Trial Quality of Life Female Laser Therapy Radiology Sick Leave medicine.symptom business |
| Zdroj: | The British Journal of Surgery |
| Popis: | Background Endovenous ablation techniques and ultrasound‐guided foam sclerotherapy (UGFS) have largely replaced open surgery for treatment of great saphenous varicose veins. This was a randomized trial to compare the effect of surgery, endovenous laser ablation (EVLA) (with phlebectomies) and UGFS on quality of life and the occlusion rate of the great saphenous vein (GSV) 12 months after surgery. Methods Patients with symptomatic, uncomplicated varicose veins (CEAP class C2–C4) were examined at baseline, 1 month and 1 year. Before discharge and at 1 week, patients reported a pain score on a visual analogue scale. Preoperative and 1‐year assessments included duplex ultrasound imaging and the Aberdeen Varicose Vein Severity Score (AVVSS). Results The study included 214 patients: 65 had surgery, 73 had EVLA and 76 had UGFS. At 1 year, the GSV was occluded or absent in 59 (97 per cent) of 61 patients after surgery, 71 (97 per cent) of 73 after EVLA and 37 (51 per cent) of 72 after UGFS (P Foam less effective |
| Databáze: | OpenAIRE |
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