Classic versus Endoscopic Perforating Vein Surgery : a Retrospective Study
| Autor: | Raphael Suy, Ann Smeets, André Nevelsteen, Hendrik Lacroix |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Perforation (oil well) Mediastinoscopes Varicose Ulcer Veins Varicose Veins Scleroderma Localized Postoperative Complications Varicose veins Humans Medicine Lipodermatosclerosis Vein Aged Retrospective Studies Leg Mediastinoscope business.industry Vascular disease Convalescence Endoscopy General Medicine Middle Aged medicine.disease Laparoscopes Surgery Venous thrombosis medicine.anatomical_structure Anesthesia Female medicine.symptom business |
| Zdroj: | Acta Chirurgica Belgica. 98:71-75 |
| ISSN: | 0001-5458 |
| DOI: | 10.1080/00015458.1998.12098381 |
| Popis: | PURPOSE AND METHODS: In this retrospective non-randomized study the results of the FELDER technique (n = 29) were compared to two endoscopic techniques for ligation of incompetent perforating veins: using a mediastinoscope (n = 19) and laparoscopic instruments (n = 57). The indication was a venous ulcer in nine, five and thirteen patients respectively, lipodermatosclerosis in thirteen, five and twenty-four, and simple varicose veins in the remaining patients (NS). RESULTS: The mean number of interrupted perforating veins was 4.2, 2.4 and 3.8 (p < 0.05). The mean hospital stay was 3.5, 1.9 and 1.6 days (p < 0.0001). The mean period of convalescence was 8.7, 4.1 and 3.7 weeks (NS). The number of complications was 9 (suralis lesion 4, pain/swelling 4, wound problem 1), 6 (saphenous lesion 3, pain/swelling 3) and 15 (pain/swelling 14, deep venous thrombosis 1) (NS). Ten patients were lost to follow-up (five, two and three). Respectively 19, 12 and 45 patients were satisfied with the end-result. The condition had worsened in one, two and three patients (NS). During the short follow-up period all ulcers healed and there was no recurrence. CONCLUSIONS: The endoscopic techniques produce results comparable to the FELDER procedure, with smaller scars and a tendency towards a faster recovery. |
| Databáze: | OpenAIRE |
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