Interventions for uncomplicated varicose veins

Bachoo, Paul

doi:10.1258/phleb.2009.09s002

Cited by 8 publications

(5 citation statements)

References 88 publications

(79 reference statements)

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“…The various approaches of surgeons to the selection of the extent of the operation with a shin trophic ulcer in place result in the aggravation of status localis in the near postoperative period in a number of cases, which compels to carry out long-term conservative treatment and justifies the need for solving this issue (Usenko, 2014). Moreover, the introduction of new, non-invasive methods of preoperative ultrasound diagnostics of the state of the lower extremity venous bed has allowed reconsidering the peculiarities of the functioning of the venous system during varicose disease and has become an incentive for the search for new methods and the reconsideration of the extents of the operative treatment of the condition (Bachoo, 2009;Mishalov, 2012;Malas, 2014). The issues of the application of varicose vein radio frequency ablation, as well as minimally invasive surgical correction methods remain unsolved (Nurmeev, 2014;Rasnussen, 2010).…”

Section: Introductionmentioning

confidence: 99%

Justification of the Need for Changing the CEAP Clinical Classification of Varicose Disease of the Lower Extremities and Adapting it to the Surgical Approach and the Selection of the Extent of the Operation

Riazanov¹,

Mamunchak²,

Iakunych³

et al. 2015

Adv. Sci.

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Abstract.The results of the examination and surgical treatment of 132 patients with CEAP class C2-C6 varicose disease of the lower extremities have been analyzed. A combined diagnostic method that allows detecting the peculiarities of the functioning of the perforating vein venous system of the shin, namely, allows establishing the uncompetency of the perforating veins of the shin objectively, has been developed. In view of the examination results obtained, a method of radical surgical treatment has been developed that allows individualizing, standardizing and synchronizing the extent of the surgical intervention depending on the stage of the disease, which results in a decrease in the injury rate and the duration of the operative intervention, ensuring the best results in the near and remote postoperative periods. A change in the CEAP classification has been proposed in order to adapt it to the surgical approach with a need to single out three clinical variants of stage С6: С6a, С6b and С6c, as well as the need to verify the competent "re-entry" perforating veins and the uncompetent perforating veins of the shin while designating them with "Apc" and "Apun" symbols respectively. In view of the innovations proposed an algorithm of the approach and selection of the extent of the surgical treatment of varicose disease depending on its clinical course has been developed.

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Section: Introductionmentioning

confidence: 99%

Justification of the Need for Changing the CEAP Clinical Classification of Varicose Disease of the Lower Extremities and Adapting it to the Surgical Approach and the Selection of the Extent of the Operation

Riazanov¹,

Mamunchak²,

Iakunych³

et al. 2015

Adv. Sci.

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“…In a randomized trial of SFJ ligation methods for primary saphenous incompetence, the 2-year clinical recurrence rate was 33% and Doppler ultrasound-proven recurrence was up to 22% 3 . About 10 years ago, new alternatives to these surgical treatments [endovascular laser ablation (EVLA) and radiofrequency ablation (RFA)] were developed, which are having a major impact on management choices 4 .…”

Section: Introductionmentioning

confidence: 99%

Endovascular Ablation Therapies for Varicose Veins in Elderly Patients

Lam

Chao

2014

International Journal of Gerontology

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s u m m a r y Background: Varicose veins are a common vascular disease in elderly patients. Both endovascular laser ablation (EVLA) and radiofrequency ablation (RFA) are reported to have good technical, clinical, and patient-reported outcomes for the treatment of varicose veins. We did not find any reports on treating elderly patients with endovascular ablation procedures in the literature. The aim of this study was to determine whether endovenous thermal ablation techniques are safe and effective in treating elderly patients with varicose veins. Method: A retrospective analysis of 57 EVLA cases and 46 RFA cases was conducted at a single center. Patients in the 65e88-year age group were assessed for postoperative pain, hematoma, thrombophlebitis, hyperpigmentation, wound infection, and skin burn. Results: Minor complications identified in the studied patients were hematoma (2.9%), thrombophlebitis (5.8%), hyperpigmentation (8.7%), wound infection (4.9%), and skin burn (1%). In the RFA group, 38 patients (83%) had no need for oral analgesic tablets on postoperative Day 3. In the EVLA group, 25 patients (44%) had no need for oral analgesic tablets on postoperative Day 3. Two patients in the EVLA group needed a secondary intervention due to recurrent vein issues. There were no major complications in either group. Conclusion: The outcomes for our older patients who underwent endovascular ablation therapy were comparable to other studies performed with the general population. Our results show that both EVLA and RFA are feasible, safe, and well-tolerated by elderly patients.

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“…Therefore, the appropriate surgical design remains controversial. [1][2][3] The standard treatment of varicose veins has historically been high ligation and stripping of the great saphenous vein. However, endovenous ablation techniques, such as endovenous laser surgery and radiofrequency ablation, have been adopted by many surgeons.…”

Section: Introductionmentioning

confidence: 99%

Causes of recurrent lower limb varicose veins after surgical interventions in 141 limbs – Five-year retrospective analysis of two centers

Hua

Jun

et al. 2013

Vascular

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Interventions for uncomplicated varicose veins

Abstract: Uncomplicated symptomatic varicose veins lead to a reduced QoL, which can be significantly improved by all interventions considered.

Cited by 8 publications

References 88 publications

Justification of the Need for Changing the CEAP Clinical Classification of Varicose Disease of the Lower Extremities and Adapting it to the Surgical Approach and the Selection of the Extent of the Operation

Justification of the Need for Changing the CEAP Clinical Classification of Varicose Disease of the Lower Extremities and Adapting it to the Surgical Approach and the Selection of the Extent of the Operation

Endovascular Ablation Therapies for Varicose Veins in Elderly Patients

Causes of recurrent lower limb varicose veins after surgical interventions in 141 limbs – Five-year retrospective analysis of two centers

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