Treatment of varicose veins: proximal saphenofemoral ligation comparing adjunctive varicose phlebectomy with sclerotherapy at a military medical center
| Autor: | Douglas G. Hatter, T. Roland Reeves, James D. Murray, James R. Hemp, John J. Bergan, Stacy A. Brethauer |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Population 030204 cardiovascular system & hematology 030230 surgery Hospitals Military California Varicose Veins 03 medical and health sciences 0302 clinical medicine Patient satisfaction Recurrence Varicose veins Sclerotherapy medicine Humans Superficial thrombophlebitis Saphenous Vein education Ligation Ambulatory phlebectomy education.field_of_study business.industry Ambulatory Surgical Procedure Femoral Vein Middle Aged medicine.disease United States Surgery Ambulatory Surgical Procedures Female medicine.symptom Cardiology and Cardiovascular Medicine business Varices Follow-Up Studies |
| Zdroj: | Vascular surgery. 35(1) |
| ISSN: | 0042-2835 |
| Popis: | There is no consensus as to the single best approach to the treatment of varicose veins. There has been a trend toward less invasive procedures to reduce the number of incisions and provide more selective ablation of varicosities. Ultimately, therapeutic decisions have depended on surgeon preference and the patient population. The active duty military population presents a unique challenge in the treatment of varicose veins. This mobile and active population requires a treatment method that provides maximum relief with the lowest possible morbidity and rapid recovery. The authors previously reported their experience with 104 patients who underwent saphenofemoral ligation combined with perforator point ligation and staged sclerotherapy. This group was compared to 103 patients who underwent saphenofemoral ligation, point perforator ligation, and stab avulsion phlebectomy as a single procedure. Follow-up for the sclerotherapy group included patient satisfaction surveys and documentation of recurrent varicosities. All ambulatory phlebectomy patients responded positively with respect to symptomatic and cosmetic results. Overall satisfaction was favorable and there was no significant difference in patient satisfaction between the ambulatory phlebectomy and sclerotherapy groups. Twelve per cent of the sclerotherapy patients developed true recurrences or new varicosities compared to 1 1% in the ambulatory phlebectomy group. The most common complication was superficial thrombophlebitis (20% ambulatory phlebectomy,16. sclerotherapy) which was mild in all cases. All but three patients in the ambulatory phlebectomy group returned to work within 7 days and 75% returned to full duty within 72 hours. Completion of therapy was accomplished in a much shorter period for the ambulatory phlebectomy group. Overall patient satisfaction was achieved for both ambulatory phlebectomy and sclerotherapy patients. Completion of therapy was achieved in a shorter period with fewer clinic visits in the ambulatory phlebectomy group and this has become our procedure of choice for active duty military patients. |
| Databáze: | OpenAIRE |
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