Treatment of Varicose Veins

Mayo,

doi:10.1097/00000441-190611000-00037

Cited by 16 publications

(11 citation statements)

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“…7 Although the surgical treatment of ligation and stripping of the greater saphenous veins has been fairly standard for nearly the last 100 years, more recent studies have questioned this approach. [8][9][10][11] It is the purpose of this study is to review the pathophysiology, diagnosis, surgical treatment of varicose veins, and their outcomes.…”

Section: Discussionmentioning

confidence: 99%

Varicose veins: a clinical study

Mulla

Pai

2017

Int Surg J

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Background: Varicose veins are a common condition affecting the lower limbs. Apart from being a cosmetic problem, it can have some serious complications if not treated in time. Multiple modes of surgical management exist for the disease. Complications of the surgery are troublesome and difficult to treat.Methods: This is a prospective study done in inpatients of SDM college of Medical Sciences, Dharwad, Karnataka, India. A total of 70 patients were included in this study and various general, demographic, clinical and surgical data outcomes were studied over a period of 4 years.Results: In our study of 70 patients we found the mean age of the study population to be 45.6% with a range of 21 to 70 years. Male patients (80%) outnumbered the females (20%). Among the 70 limbs studied, 30 (42.85%) patients had the involvement of GSV and communicating system, 6 (8.57%) had involvement of GSV and SSV systems, whereas SSV and CS were affected in 2 (2.85%) patients. 2 (2.85%) had all the three systems involved. Complications of surgery were noted in 22 (31.42%) patients, seroma formation (10%) was the commonest, followed by recurrence of the disease (8.57%), hematoma (4.28%), wound infection (2.85%) and neuropathy (5.71%).Conclusions: Varicose veins are a frequent occurrence. Commonly affect middle aged males, required to work standing for prolonged hours. The great saphenous and the communicating systems are most commonly involved, followed by great saphenous system alone. Pain is the most common presenting symptom and pigmentation the most common complication of the disease. The treatment depends on the site of incompetence and should hence be tailor-made for each case.

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Section: Discussionmentioning

confidence: 99%

Varicose veins: a clinical study

Mulla

Pai

2017

Int Surg J

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“…EVLT has become a firmly established procedure. 3) The priority for both the patients and their surgeons is the cosmetic as well as the functional outcome of the operation, in conjunction with the prevention of recurrence. From an anatomical point of view, the venous system of the lower limbs is divided into ENDOVENOUS LT FOR VARICOSE VEINS …”

Section: Discussionmentioning

confidence: 99%

Our Experience With Endovenous Laser Therapy for Varicose Veins

Vokůrka¹,

Vokurková²,

Veverková

et al. 2010

LASER THERAPY

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“…A semi-closed technique for the subcutaneous removal of the saphenous vein was ®rst described by Mayo in 1906 [8], and its use for harvesting the saphenous vein has been retrospectively analyzed in two series [9,10]. Meanwhile, various new minimally invasive techniques using commercially available instruments have been introduced and their clinical applicability has been shown.…”

Section: Commentmentioning

confidence: 99%

Endothelial function of human vena saphena magna prepared with different minimally invasive harvesting techniques

Fabricius

Oser

Diegeler

et al. 2000

European Journal of Cardio-Thoracic Surgery

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Objectives: Minimally invasive saphenous harvesting techniques have been shown to reduce post-operative morbidity. However, when applying new techniques of vein harvesting, endothelial integrity should be preserved in order to guarantee graft quality. We investigated the impact of two different minimally invasive saphenous vein harvesting techniques on endothelial function compared with the traditional open' technique by inducing endothelium-dependent in vitro relaxation. Methods: Two different minimally invasive techniques for harvesting the greater saphenous vein were used in 66 patients, either using a video-assisted dissector (ETHI, n 33) or a light coupled retractor (AUTS, n 33); other patients were treated conventionally (CONV, n 30). The physiological response was tested in vitro using an organ chamber on vein segments exposed to acetylcholine after precontraction with potassium. Results: In both minimally invasive groups, two patients each had to be converted to the traditional open technique and dropped out of the study. The endothelial function of the other veins harvested by either of the minimally invasive techniques showed no signi®cant difference compared with veins harvested conventionally. Reactivity was measured as the percentage relaxation of pharmacological contraction and was signi®cant in all groups (P , 0:05); ETHI, 49.1^4.2%; AUTS, 48.8^5.1%; and CONV, 51.7^6.0%. The responder/non-responder ratio was similar in all groups: ETHI (two drop-outs), 28/3 (90.3%); AUTS (two drop-outs), 28/3 (90.3%); and CONV, 27/3 (90.0%). Conclusion: Veins harvested by minimally invasive techniques have not shown an impaired reactivity of the endothelium compared with the conventional technique. q

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Treatment of Varicose Veins

Cited by 16 publications

References 0 publications

Varicose veins: a clinical study

Varicose veins: a clinical study

Our Experience With Endovenous Laser Therapy for Varicose Veins

Endothelial function of human vena saphena magna prepared with different minimally invasive harvesting techniques

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