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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2008 August;21(4):195-8
Varicose disease of lower limbs: what kind of treatment? Personal experience
Maria S. 1, Stissi R. 1, Bonaccorso A. M. 1, Scapellato S. 1, Leanza S. 1, Tomasello A. V. 2
1 Dipartimento di Chirurgia Sezione di Chirurgia d’Urgenza e Generale Università degli Studi di Catania U.O. Clinicizzata di Chirurgia d’Urgenza Azienda Ospedaliera Vittorio Emanuele II, Catania
2 U.O. di Chirurgia Plastica Azienda Ospedaliera Cannizzaro, Catania
Aim. We report the experience over 422 patients admitted and treated for varicose disease on lower limbs, in the U.O. Clinicizzata di Chirurgia D’urgenza of Vittorio Emanuele Hospital of Catania from 01/01/2001 to 12/31/2005. The surgical treatment was modulated by the intensity of the disease.
Methods. The 422 patients were treated according to the following surgical techniques:
14 (3,3%) patients with CHIVA method; 4 (0,9%) patients with reconstruction of saphenofemoral valve (as described by Belcaro); 10 (2,3%) patients with multiple phlebectomies (as described by Muller); 8 (1,9%) patients with crossectomy and multiple phlebectomies; 252 (59,7%) patients with stripping of the great saphenous vein from the groin to the knee (short stripping); 134 (31,7%) patients with stripping of the great saphenous vein from the groin to the ankle (long stripping).
Results. On the 14 (3,3%) patients treated with CHIVA method were noticed the following complications: 6 (42,9%) cases of saphenous vein thrombosis; 8 (57,1%) cases of varicose recurrences during the follow-up (15 months – 3 years). On all 4 cases (0,9%) treated with reconstruction of saphenofemoral valve (as described by Belcaro) were noticed saphenous vein thrombosis before the 48-hours following the procedure. On 252 (59,7%) patients treated with the short stripping were noticed: 8 (3,17%) cases of postoperative complications; 3 (1,2%) cases of varicose recurrences. On 134 (31,7%) patients treated with the long stripping were noticed: 9 (6,7%) cases of postoperative complications; no case of varicose recurrences.
Conclusion. Finally, according to obtained results, we agree that the gold standard of surgical treatment of the varicose disease of the lower limbs, is represented by the stripping of the saphenous vein, with a low percent of postoperative complicances and/or varicose recurrences.