ORIGINAL ARTICLES   

Chirurgia 2010 December;23(6):241-6

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Quantitative assessment of the hemodynamic changes after varicose vein surgery for small saphenous vein reflux

Park U-J. ¹, Yun W-S. ², Lee K-B. ², Rho Y-N. ², Kim Y-W. ², Kim D-I. ²

¹ Department of Surgery, Dongsan Medical Center Keimyung University School of Medicine, Daegu, Korea 2 Division of Vascular Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea

Aim. We wanted to quantitatively assess the hemodynamic changes before and after small saphenous vein (SSV) surgery by performing air plethysmography (APG).
Methods. We analyzed 325 limbs in 316 patients who had undergone surgery for SSV reflux. The venous hemodynamic changes were evaluated by APG preoperatively and at one month postoperatively.
Results. The preoperative median VV was 118.8 mL and it was reduced to 86.7 mL after surgery. The median VFI was reduced from 2.8 mL/sec to 1.2 mL/sec. The median RVF was reduced from 40.8% to 27.4%. The VV, VFI and RVF were reduced 24.8%, 57.1% and 31.0%, respectively and the EF was increased 18.1%. The results were significant for all four variables (P< .001).
Conclusion. The venous hemodynamics were improved after SSV surgery. The VFI showed the most prominent change after varicose vein surgery. APG was applicable to assess the hemodynamic results of varicose vein surgery.