Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins
Background: The aim of this study was to evaluate the clinical efficacy of a modified surgical procedure for the treatment of varicose veins. Methods: This retrospective analysis was conducted on lower extremities with symptomatic great saphenous vein (GSV) incompetence that underwent stripping f...
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic & Cardiovascular Surgery
2023-11-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| _version_ | 1797642756162584576 |
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| author | Ki Pyo Hong |
| author_facet | Ki Pyo Hong |
| author_sort | Ki Pyo Hong |
| collection | DOAJ |
| description | Background: The aim of this study was to evaluate the clinical efficacy of a modified
surgical procedure for the treatment of varicose veins.
Methods: This retrospective analysis was conducted on lower extremities with symptomatic
great saphenous vein (GSV) incompetence that underwent stripping from the groin to
the knee, with preservation of the superficial epigastric vein (SEV), between January 2015
and April 2022. Follow-up assessments were performed using Doppler ultrasound, Venous
Clinical Severity Score (VCSS), and the Aberdeen Varicose Vein Questionnaire (AVVQ) at 6
and 12 months after surgery.
Results: The study included 179 limbs from 120 patients (47 men and 73 women). The
mean patient age was 56.5 years (range, 20–78 years), and the distribution of preoperative
Clinical-Etiology-Anatomy-Pathophysiology clinical classes was 8% C0–C1, 88% C2, and
4% C3–C6. The preoperative diameter of the saphenofemoral confluence averaged 6.9
mm (range, 2.7–15.8 mm). After a mean postoperative follow-up period of 24 months,
evidence of neovascularization around the stump of the saphenofemoral junction (SFJ)
was observed in 2 limbs (1.1%). Additionally, varicose vein recurrence was found in 1 limb
(0.6%) and was associated with an incompetent thigh perforator. At postoperative follow-
up, both VCSS and AVVQ scores were significantly lower than the preoperative scores.
Conclusion: Modified surgical treatment of GSV incompetence, involving preservation
of the SEV and stripping of a short segment up to the knee, demonstrated favorable clinical
results in terms of postoperative complication rate, neovascularization rate around the
SFJ stump, varicose vein recurrence rate, and improvement in lower extremity symptoms. |
| first_indexed | 2024-03-11T14:04:54Z |
| format | Article |
| id | doaj.art-160ed360f4eb47cf900fa13e5a4a945f |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-03-11T14:04:54Z |
| publishDate | 2023-11-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-160ed360f4eb47cf900fa13e5a4a945f2023-11-02T02:36:30ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-11-0156638739310.5090/jcs.23.098Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous VeinsKi Pyo Hong0https://orcid.org/0000-0002-8262-3361National Health Insurance Service Ilsan HospitalBackground: The aim of this study was to evaluate the clinical efficacy of a modified surgical procedure for the treatment of varicose veins. Methods: This retrospective analysis was conducted on lower extremities with symptomatic great saphenous vein (GSV) incompetence that underwent stripping from the groin to the knee, with preservation of the superficial epigastric vein (SEV), between January 2015 and April 2022. Follow-up assessments were performed using Doppler ultrasound, Venous Clinical Severity Score (VCSS), and the Aberdeen Varicose Vein Questionnaire (AVVQ) at 6 and 12 months after surgery. Results: The study included 179 limbs from 120 patients (47 men and 73 women). The mean patient age was 56.5 years (range, 20–78 years), and the distribution of preoperative Clinical-Etiology-Anatomy-Pathophysiology clinical classes was 8% C0–C1, 88% C2, and 4% C3–C6. The preoperative diameter of the saphenofemoral confluence averaged 6.9 mm (range, 2.7–15.8 mm). After a mean postoperative follow-up period of 24 months, evidence of neovascularization around the stump of the saphenofemoral junction (SFJ) was observed in 2 limbs (1.1%). Additionally, varicose vein recurrence was found in 1 limb (0.6%) and was associated with an incompetent thigh perforator. At postoperative follow- up, both VCSS and AVVQ scores were significantly lower than the preoperative scores. Conclusion: Modified surgical treatment of GSV incompetence, involving preservation of the SEV and stripping of a short segment up to the knee, demonstrated favorable clinical results in terms of postoperative complication rate, neovascularization rate around the SFJ stump, varicose vein recurrence rate, and improvement in lower extremity symptoms.saphenous veinvaricose veinsneovascularizationduplex ultrasonography |
| spellingShingle | Ki Pyo Hong Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins Journal of Chest Surgery saphenous vein varicose veins neovascularization duplex ultrasonography |
| title | Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins |
| title_full | Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins |
| title_fullStr | Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins |
| title_full_unstemmed | Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins |
| title_short | Clinical Efficacy of a Modified Surgical Procedure in the Treatment of Incompetent Great Saphenous Veins |
| title_sort | clinical efficacy of a modified surgical procedure in the treatment of incompetent great saphenous veins |
| topic | saphenous vein varicose veins neovascularization duplex ultrasonography |
| work_keys_str_mv | AT kipyohong clinicalefficacyofamodifiedsurgicalprocedureinthetreatmentofincompetentgreatsaphenousveins |