The Management of Varicose Veins

Lin, Fan; Zhang, Shiyi; Sun, Yan; Ren, Shiyan; Liu, Peng

doi:10.9738/intsurg-d-14-00084.1

Cited by 36 publications

(25 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The management alternatives for lower limb varicose veins includes Trendelenburg operation, stripping, sub-fascial ligation of perforators, laser, sclerotherapy, subfascial endoscopic perforator surgery and radiofrequency ablation. 7 The investigation for more effective means of diagnosing and treating the varicose veins and prevention and management of its complications continues and this study aims at studying the clinical features, and management of varicose veins of lower limbs.…”

mentioning

confidence: 99%

Study of different surgical management approach in lower limb varicose veins at tertiary care hospital

Shafiuddin

Bhavanishankar

2017

Int Surg J

View full text Add to dashboard Cite

Background: The present study was conducted with the aim to evaluate the clinical features and management of varicose veins in terms of recurrence and symptoms improvement.Methods: This clinical study was conducted for a period of two years during January 1990 to February 1992. A total of 21 patients who presented with symptoms of varicose veins in lower extremities to Karnataka Medical College Hospital Hubli were involved in the study. After thorough clinical examination and investigation all the patients are subjected to relevant treatment.Results: Long saphenous system is the most common venous system affected by varicosity in 18 (85.7%) cases. Incompetence of perforator veins was seen in about 20 (95.3%) cases. Trendelenburg’s operation was done in all cases of long saphenous involvement. Sub fascial ligation of perforators was done in 2 patients. Wound infection is the common postoperative complication observed in 5 patients. Preoperative stay in hospital was longer in patients with ulcer (13 days), whereas patients with postoperative wound infection (14 days) had longer postoperative stay.Conclusions: This study showed that the prevalence of lower limb varicose veins has a male predominance and is more common in younger age group. Occupation involving standing for longer periods of time is one of the important contributing factors in the development of varicosities. There is no single method of appropriate treatment for all cases. Multiple ligations of saphenous vein and excision of varicosed tributaries were done in 9 patients. If cases are selected properly with good operative technique the complications are negligible.

show abstract

mentioning

confidence: 99%

Study of different surgical management approach in lower limb varicose veins at tertiary care hospital

Shafiuddin

Bhavanishankar

2017

Int Surg J

View full text Add to dashboard Cite

show abstract

“…11 For classification of varicose veins, CEAP classification is commonly used of which Clinical (C Stage) is more useful. 12 In our study, there were 13.1% of patients in stage 5 or more (presence of ulceration).…”

Section: Discussionmentioning

confidence: 45%

“…Conventional open surgery and radiofrequency ablation of GSV are common options for surgical management of GSV varicose veins and this can be done in adjunct with phlebectomy, perforator ligation, or sclerotherapy as per the need. 12 For varicose veins of SSV, SPJ ligation with/without phlebectomy, perforator ligation, and sclerotherapy are surgical treatment modalities. 12 After the start of RFA in Dhulikhel Hospital from August 2013, this surgical modality was done in all the possible cases.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Varicose vein invasive intervention at university hospital of Nepal, our experience in the last six years</p>

Karmacharya¹,

Shrestha²,

Singh³

et al. 2019

OAS

View full text Add to dashboard Cite

Introduction: Varicose vein is a common venous condition affecting quality of life presenting as an asymptomatic condition to a feeling of heaviness, pain, pigmentation, palpable superficial veins, itchiness and ulceration. Proper management of varicose vein is of huge importance due to its high prevalence and the impact it has on patients' quality of life, productivity as well as on health-care resource burden. Various conservative and invasive interventions are available for the management of varicose veins. Here we present our experience with the invasive intervention of varicose veins during a period of six years at a tertiary care center (Dhulikhel Hospital) in Nepal. Although Radio Frequency Ablation (RFA) is recently introduced in Nepal, it has shown promising outcome. Method: This is a retrospective descriptive cross-sectional study between the years 2013 and 2018 at the Dhulikhel Hospital among patients that underwent surgical management of varicose veins. For ease in interpretation, patients who underwent surgery for both lower limbs in the same setting are considered as separate cases. Results: In a total of 533 limbs, the most common vein involved was isolated great saphenous vein in 70.4%. In terms of side affected, 157 patients (33.8%) were affected on the right side, 238 (51.3%) were affected on the left side and 69 (14.9%) patients had bilateral involvement. The most common clinical feature was prominent vein present in 94.5% limbs. This was followed by pain in 55.7%, pigmentation in 25.3%, itchiness in 14.6% and ulceration in 13.1%. Mean hospital stay was 1.1 days (S.D. 0.64, Range 0-3). In terms of complication, one case with deep vein thrombosis (0.18%) developed in the seventh postoperative period. There was skin burn in two cases (0.53% of RFA cases) and in 11 cases (2.06%) there was painful superficial thrombosed veins of which three required excision under local anesthesia (0.56%). Conclusion: There are multiple invasive interventions for varicose veins. With the availability of the facilities, RFA is the procedure of choice in feasible cases. The most common complication after surgical treatment was painful thrombosed superficial veins. DVT was a rare complication.

show abstract

“…Termal ablasyon yönteminde postoperatif derin ven trombozunu önlemek için süperfisiyal epigastrik ven ile 1-2 cm mesafe bırakılması önemlidir (10) . Fakat bu durumda patent kalan bu ve-nin rekürens açısından risk teşkil ettiği unutulmamalıdır.…”

Section: Operasyon Tekniğiunclassified

Alternative Treatment for Superficial Saphenous Venous Insufficiency: Ligation with the Guidance of Stripper

Kaya¹

2019

Kosuyolu Heart Journal

View full text Add to dashboard Cite

Endovenöz teknikler yüzeyel venöz yetmezlik tedavisinde tercih edilen ilk yöntem olup safen venin fasianın üzerinde seyrettiği durumlarda kullanımı kısıtlanmaktadır. Bu makalede yüzeyel seyreden safen venlerin cerrahi tedavisinde alternatif cerrahi teknik yöntemi ve bu yönteme ait sonuçlarımız bildirilmektedir. Hastalar ve Yöntem: Çalışmada 1 Ocak 2016-18 Ocak 2018 tarihleri arasında arasında stripper vasıtasıyla segmental safen ven ligasyonu uygulanan hastalar retrospektif olarak incelendi. Hastaların dosyaları incelenerek postoperatif dönemde ekimoz, flebit, cilt yanığı ve safen ven açıklığı değerlendirildi. Bulgular: Bu dönemde 78 hastaya stripper aracılığıyla safen ven ligasyon ameliyatı uygulandı. Hastaların ortalama yaşı 44.8 ± 7.6 olup, %63 (n= 49)'ü kadın idi. Postoperatif dönemde hiçbir hastada cilt komplikasyonuna rastlanmadı. Postoperatif kontrol Doppler ultrasonografide hiçbir hastada safen vende reflü saptanmadı. Sonuç: Safen venin aralıklı ligasyonu yüzeyel safen ven yetmezliğinin cerrahi tedavisinde cilt komplikasyon riskini azaltan bir yöntemdir. Bu yöntem düşük maliyet ve lokal komplikasyon avantajıyla yüzeyel venöz yetmezlik tedavisinde alternatif yöntem olarak uygulanabilir.

show abstract

The Management of Varicose Veins

Cited by 36 publications

References 25 publications

Study of different surgical management approach in lower limb varicose veins at tertiary care hospital

Study of different surgical management approach in lower limb varicose veins at tertiary care hospital

<p>Varicose vein invasive intervention at university hospital of Nepal, our experience in the last six years</p>

Alternative Treatment for Superficial Saphenous Venous Insufficiency: Ligation with the Guidance of Stripper

Contact Info

Product

Resources

About