The value of different forms of treatment for varicose veins

Abstract

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.

Endovenous laser photocoagulation (EVLP) for varicose veins

“…The myriads of options available include compression stockings, sclerotherapy, ambulatory phlebectomy, surgical stripping, surgical ligation, and radio-frequency ablation, either singly or in combination [7][8][9][10][11][12][13][14][15][16][17][18][19].…”

Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato

“…Este método dá um excelente resultado estético e funcional 15,16 . Quando há comprometimento importante da veia safena, interna ou externa, a fleboextração do segmento acometido permanece sendo o tratamento de escolha [17][18][19][20][21][22][23] . Mais recentemente, a fotocoagulação da veia safena com o laser endovenoso aparece como uma alternativa menos invasiva do que a fleboextração convencional [24][25][26][27][28][29][30] .…”

Duplex sonographic evaluation of the sapheno-femoral venous junction in patients with recurrent varicose veins after surgical treatment

“…1 Lofgren and Lofgren 2 reported a recurrence rate of 20-26% after surgery for varicose veins, and Hobbs 3 reported that 20% of patients experience complete failure of treatment within 5 years and that 60% of patients require further treatment after the initial varicose vein surgery. Reflux occurs when, because of valve failure, there is a flow inversion in the vein, which leads to increased venous pressure and varicose veins.…”