Surgical treatment for varicose vein.
- Author:
Zhi-Dong YE
1
;
Peng LIU
;
Fei WANG
;
Fan LIN
;
De-Sheng CAO
;
Yu-Guang YANG
;
Feng-Lin WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Angioplasty, Laser; methods; Catheter Ablation; methods; Combined Modality Therapy; Electrocoagulation; methods; Female; Humans; Male; Middle Aged; Retrospective Studies; Saphenous Vein; surgery; Sclerotherapy; methods; Treatment Outcome; Varicose Veins; surgery; therapy; Vascular Surgical Procedures; methods; Young Adult
- From: Acta Academiae Medicinae Sinicae 2007;29(1):40-43
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the techniques and outcomes of the surgical treatment for varicose vein.
METHODSTotally 2 200 patients with varicose vein received surgical treatment in our hospital from July 2000 to January 2006. The latest techniques for endovenous occlusion were used for most cases, among which 1 802 cases were treated with endovenous laser treatment (EVLT) combined with transilluminated powered phlebectomy (TIPP), 82 cases with radiofrequency endovenous occlusion (RFO) combined with TIPP, and 218 cases with limited invaginated vein stripping and foam sclerotherapy. The remaining 98 cases were treated with laser, radiofrequency or ligation for saphenous vein trunk, and with resection, electric coagulation, and transfixation for vein clusters as additional methods. Perforators were also cut and ligated as well.
RESULTSSatisfied surgical results were obtained in all cases. The average operative time was 40 minutes (range 20-78 minutes).
CONCLUSIONSLimited invaginated vein stripping, EVLT, and RFO can be used to treat saphenous vein reflux. Surgical resection, transfixation, electric coagulation, and sclerotherapy are reasonable options for vein cluster or tributaries. Transection and ligation of the perforators are important. TIPP is ideal for the treatment of vein clusters.
