Treatment of varicose veins with minimally invasive methods: Is conventional surgery still a “gold standard”?

Enzler, M; Bisang, U; Amann-Vesti, Beatrice

doi:10.1080/00015458.2010.11680614

Cited by 2 publications

(2 citation statements)

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“…2 Such promising features of endovenous procedures have led some authors to consider conventional surgery as an apoptotic discipline in the phlebology field. 3 However, according to the most recent reviews, RFA and EVLA are not improving the post-operative recurrence rate. 4 Additionally, a meta-analysis this year highlighted a higher recurrence risk following EVLA rather than surgery.…”

Section: Introductionmentioning

confidence: 99%

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Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

et al. 2016

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Objective The aim of the present study is to compare a mini-invasive (smaller than 2-cm incision) sapheno-femoral high-tie by clip apposition (HT group) with a traditional high-ligation by ligature (HL group). Methods One hundred fifty chronic venous disease patients were included in group HT and compared with 150 cases constituting the group HL. The main outcome was the sonographic detection of saphenous trunk recurrences. Procedural pain, esthetic satisfaction, and disease specific quality of life were assessed. Results At 4.5 ± 2.4 years follow-up, 8 cases (5.3%) of Great Saphenous Vein reflux reappearance were reported in group HT vs. 19 cases (12.6%) (odds ratio: 2.6; 95% confidence interval: 1.1-6.1; P = 0.04) of group HL. Esthetic satisfaction was scored as high and very high in group HT and HL, respectively (P < .0001). Conclusions Proper high-ligation technique provides satisfying outcomes both in terms of recurrence rate and patient esthetic satisfaction. The different outcomes obtained by the two groups encourage further investigations regarding recurrence pathogenesis.

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Section: Introductionmentioning

confidence: 99%

“…2 Such promising features of endovenous procedures have led some authors to consider conventional surgery as an apoptotic discipline in the phlebology field. 3…”

Section: Introductionmentioning

confidence: 99%

Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

et al. 2016

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Patient perceptions and preferences of minimally invasive treatment modalities in varicose veins: a cross-sectional survey

Li,

Wang,

Meng

et al. 2024

Front. Cardiovasc. Med.

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PurposeMinimally invasive therapies (MIT) have gained popularity due to their capacity to reduce trauma, enhance aesthetic outcomes, and shorten recovery periods. This article explores patients’ perceptions and preferences regarding MIT for varicose veins (VVs) while analyzing associated influencing factors to provide a better understanding.Patients and methodsA cross-sectional survey at Zhejiang Rongjun Hospital was performed from January 2022 to June 2023, involving 305 participants with VVs. The questionnaire assessed patient demographics, VVs severity, prior treatment experiences, and treatment preferences. Statistical analyses, including chi-square and Kruskal-Wallis tests, were conducted to explore the correlations between patient characteristics, treatment preferences, and factors influencing these choices.ResultsNearly half of the participants (44.3%) lacked information on any surgical options, whereas a slight majority (55.7%) possessed familiarity with at least one treatment modality, and only 9.8% knew of all six treatment methods presented. Patient surveys discerned that the majority (68.5%) declared an inadequate grasp of treatment methodologies to articulate a treatment preference. Among the 96 patients who made a treatment choice, 24.0% opted for traditional surgery, while 76.0% chose MIT and a higher preference for MIT among male patients compared to female patients (p = 0.006). The patients preferred treatment options for VVs significantly affected by vascular surgeon recommendations and the number of follow-up visits (r = 0.129, p = 0.024; r = 0.122, p = 0.033).ConclusionThe study highlights limited awareness of MIT among Chinese patients with VVs. The insights emphasize the influential role of vascular surgeons’ recommendations and suggest a growing predilection for less invasive treatments due to their advantages in recovery and aesthetics. Provider-patient communication, including education about available treatments and shared decision-making, is essential to align treatment plans with patient expectations and improve outcomes.

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Treatment of varicose veins with minimally invasive methods: Is conventional surgery still a “gold standard”?

Cited by 2 publications

References 0 publications

Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

Patient perceptions and preferences of minimally invasive treatment modalities in varicose veins: a cross-sectional survey

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