Assessment of the results of surgery for varicose veins

McAdam, W A; Horrocks, Jane C.; Dombal, F. T. de

doi:10.1002/bjs.1800630213

Cited by 22 publications

(6 citation statements)

References 10 publications

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“…O f the 69 patients, 58 (84 per cent) completed the study and attended for follow-up after a median (i.q.r.) of 21 (20)(21)(22)(23)(24) months. One patient, who had been found to have an inadequate saphenofemoral ligation at the 3-month followup and who had severe recurrent varicose veins in the limb at the second follow-up appointment, was excluded from further analysis.…”

Section: Resultsmentioning

confidence: 99%

Stripping of the long saphenous vein in the treatment of primary varicose veins

Sarin

Scurr

Smith

1994

Journal of British Surgery

153

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Eighty-nine legs with long saphenous vein (LSV) reflux and saphenofemoral junction incompetence were treated by saphenofemoral ligation and multiple avulsions; patients were randomized to undergo additional stripping of the LSV from groin to upper calf (n = 43) or no additional treatment (n = 46). At a median of 21 months after surgery recurrence was evaluated by duplex ultrasonography, photoplethysmography, clinical examination and patient assessment. Fewer persisting incompetent LSVs in the calf were found (21 versus 38) and median (interquartile range) photoplethysmographic refilling times were longer (20 (13-27) versus 14 (11-21) s) when the LSV was stripped than after saphenofemoral ligation alone (both P < 0.1). More patients were completely satisfied (65 versus 37 percent and were recurrence-free (65 versus 17 per cent) when the LSV had been stripped compared with saphenofemoral ligation alone (P < 0.05 and P < 0.001 respectively). The addition of LSV stripping to saphenofemoral ligation and multiple avulsions results in a better overall outcome.

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Section: Resultsmentioning

confidence: 99%

Stripping of the long saphenous vein in the treatment of primary varicose veins

Sarin

Scurr

Smith

1994

Journal of British Surgery

153

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“…They may be based on an objective or subjective evaluation, each of which may be made according to numerous, differing criteria. Furthermore, despite well-defined criteria, two or more investigators may evaluate a given result differently (McAdam et al, 1976).…”

Section: The Value Of Different Forms Of Treatment For Varicose Veinsmentioning

confidence: 99%

The value of different forms of treatment for varicose veins

Jakobsen

1979

Journal of British Surgery

196

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In iz controlled clinical investigation 516 patients with previously untreated saphenous varices were divided into three treatment groups according to a stratiJied group comparative design. The patients in treatment group I underwent a radical operation under full anaesthesia; the patient5 in group 2 were treated by means of rninor operations followed by injectionlcompression therapy; the patients in group 3 were treated by means of injectionlcompression therapy alone. The results were evaluated both objecticely and subjectively 3 months and 3 years after treatment, the follow-up being I00 per cent and 98. I per cent complete at those times. With regard to the period of disability among those patieiits with jobs outside the home (63.8 per cent), there was a stutistically signifcant diflerence between the three groups, the median period oj disability being 14.2, 7 6 and 0 days respectively. In all three treatment groups the results were worse after 3 years than after 3 months, but the difference was significantly less following radical operation than after combined treatment, and significantly less following combined treatment thari after injectionlcompression therapy alone. The patients were randomized and treated by the author and the results oj treatment were evaluated by the author and partly controlled by another investigator.I t is concluded that the primary treatment for incompetence of the saphenous veins should be a radical operation.

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“…Prospective studies that have looked at symptoms of varicose veins have found a variable rate of cosmetic symptoms (McAdam et al. 1976; Baker et al.…”

Section: Discussionmentioning

confidence: 99%