Long Saphenous Vein Stripping and Quality of Life – a Randomised Trial

Durkin, Mike; Turton, Philip; Wijesinghe, L.D.; Scott, D.; Berridge, David

doi:10.1053/ejvs.2001.1364

Cited by 74 publications

(40 citation statements)

References 9 publications

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“…Surgical or endovenous ablation of saphenous veins improves quality of life in the long term and helps symptoms subside. Comparison of saphenous vein ablation and surgery regarding change in quality of life showed similar results in the long term (1)(2)(3)(4)(5)(6). However, in the early postoperative period, patients who had laser ablation experienced a greater improvement in quality of life, a faster return to work and a quicker return to normal activities (3)(4)(5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 84%

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Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins

Özkan

Saritüürk²

2012

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 84%

“…In the literature, the greatest clinical benefit was reportedly obtained in the first three to six months after treatment, with no further clinical improvement possible after six months (3)(4)(5)(6)(7). Therefore, the best time to evaluate the response to treatment appeared to be at month six.…”

Section: Discussionmentioning

confidence: 99%

Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins

Özkan

Saritüürk²

2012

Diagn Interv Radiol

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“…No significant differences in haematoma formation, pain scores or saphenous nerve injury were detected between the groups. However, in a later analysis of one study, invagination had better results in certain domains of the SF-36  and the EuroQol questionnaire 25 . To date, cryostripping and transilluminated powered phlebectomy have not been widely accepted in varicose vein surgery 26,27 .…”

Section: Discussionmentioning

confidence: 88%

Randomized clinical trial comparing bipolar coagulating and standard great saphenous stripping for symptomatic varicose veins

Lorenz¹,

Gäbel²,

Redtenbacher

et al. 2007

British Journal of Surgery

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“…Sie orientiert sich klar an den pathophysiologischen Vorstel lungen, wie sie in der Leitlinie zur Dia gnostik und Therapie des Krampfaderlei dens [39] [9,27], in einer re trospektiven Analyse, die einen jahrzehn telangen Verlauf überblickt, wurde auch über eine länger anhaltende Verbesserung der Lebensqualität berichtet [12].…”

Section: Klassische Varizenoperationunclassified

Primary varicosis

Noppeney¹,

Rewerk²,

Winkler³

et al. 2007

Chirurg

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The classic varicose vein operation still represents the "gold standard" in the operative therapy of varicose veins. The results of this procedure in view of perioperative complications are very good, with the incidence of perioperative deep venous thrombosis varying between 0.05% and 0.1%. Recurrence rates between 6% and 60% are published. However, the true recurrence rate is unknown since an exact definition of recurrent varicosis is still lacking. In recurrent varices it is essential to distinguish between disease progression, including neorevascularisation, and technical errors. Endovascular procedures for elimination of the superficial venous system - radiofrequency obliteration and endovenous laser therapy - meanwhile have established themselves as alternative, minimally invasive procedures. The perioperative complication rate of endovenous procedures is very low and comparable to that of the classic operation. Good results, with occlusion rates of the treated vein around 87% to 93% up to 2 years postoperatively, have been published for both endovenous laser therapy and radiofrequency obliteration. For the latter, 5-year results were published, with occlusion of the treated vein in 87%. Results in the literature for radiofrequency are better documented than for endovenous laser treatment because there are now five prospective randomised trials for the former and most publications for endovenous laser treatment are single-center experiences. The advantage of endovenous procedures, especially radiofrequency obliteration, over the classic operation is the lower rate of perioperative pain and better quality of life. The spectrum of operative treatment methods of the superficial venous system has increased tremendously due to new technical developments. For the surgeon this implies the necessity of informing patients conscientiously about the pros and cons and available results of each procedure, and carefully weighing which methods are at the time best for the patient.

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Long Saphenous Vein Stripping and Quality of Life – a Randomised Trial

Abstract: Primary varicose vein surgery is associated with significant and progressive improvements in quality of life scores. Whilst overall quality of health does improve in the Conventional group, this appears to be to a lesser extent than in the PIN group.

Cited by 74 publications

References 9 publications

Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins

Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins

Randomized clinical trial comparing bipolar coagulating and standard great saphenous stripping for symptomatic varicose veins

Primary varicosis

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