Recovery after ultrasound-guided foam sclerotherapy compared with conventional surgery for varicose veins
| Autor: | Gareth Bate, K.A.L. Darvall, Donald J. Adam, Andrew W. Bradbury |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Automobile Driving medicine.medical_specialty Contusions medicine.medical_treatment Conventional surgery Varicose Veins Recurrence Surveys and Questionnaires Laparotomy Sclerotherapy Varicose veins medicine Humans Saphenous Vein Ultrasonography Interventional Aged Leg Pain Postoperative Varix business.industry Vascular disease Middle Aged medicine.disease Sclerosing Solutions Ultrasound guided Surgery Treatment Outcome Female medicine.symptom business Varices |
| Zdroj: | British Journal of Surgery. 96:1262-1267 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.6754 |
| Popis: | BackgroundThe 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.MethodsPatients who had UGFS or surgery for varicose veins were sent a questionnaire 4 weeks after treatment.ResultsA 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).ConclusionUGFS was associated with less pain and analgesia requirement, time off work and quicker return to driving. |
| Databáze: | OpenAIRE |
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