Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins

Visa fullständig post



Permalänk

http://hdl.handle.net/10138/168615

Citation

Venermo , M , Saarinen , J , Eskelinen , E , Vähäaho , S M , Saarinen , E , Railo , M , Uurto , I , Salenius , J , Albäck , A & Finnish Venous Study Collaborators 2016 , ' Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins ' , British Journal of Surgery , vol. 103 , no. 11 , pp. 1438-1444 . https://doi.org/10.1002/bjs.10260

Titel: Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins
Författare: Venermo, Maarit; Saarinen, J.; Eskelinen, Elina; Vähäaho, Sari M; Saarinen, Eva; Railo, Mikael; Uurto, I.; Salenius, J.; Albäck, Anders; Finnish Venous Study Collaborators
Medarbetare: University of Helsinki, Clinicum
University of Helsinki, Verisuonikirurgian yksikkö
University of Helsinki, Clinicum
University of Helsinki, Verisuonikirurgian yksikkö
University of Helsinki, Verisuonikirurgian yksikkö
University of Helsinki, Verisuonikirurgian yksikkö
Datum: 2016-10
Språk: eng
Sidantal: 7
Tillhör serie: British Journal of Surgery
ISSN: 0007-1323
Permanenta länken (URI): http://hdl.handle.net/10138/168615
Abstrakt: BackgroundEndovenous ablation techniques and ultrasound-guided foam sclerotherapy (UGFS) have largely replaced open surgery for treatment of great saphenous varicose veins. This was a randomized trial to compare the effect of surgery, endovenous laser ablation (EVLA) (with phlebectomies) and UGFS on quality of life and the occlusion rate of the great saphenous vein (GSV) 12months after surgery. MethodsPatients with symptomatic, uncomplicated varicose veins (CEAP class C2-C4) were examined at baseline, 1month and 1year. Before discharge and at 1week, patients reported a pain score on a visual analogue scale. Preoperative and 1-year assessments included duplex ultrasound imaging and the Aberdeen Varicose Vein Severity Score (AVVSS). ResultsThe study included 214 patients: 65 had surgery, 73 had EVLA and 76 had UGFS. At 1year, the GSV was occluded or absent in 59 (97 per cent) of 61 patients after surgery, 71 (97 per cent) of 73 after EVLA and 37 (51 per cent) of 72 after UGFS (P <0001). The AVVSS improved significantly in comparison with preoperative values in all groups, with no significant differences between them. Perioperative pain was significantly reduced and sick leave shorter after UGFS (mean 1day) than after EVLA (8days) and surgery (12days). ConclusionIn comparison with open surgery and EVLA, UGFS resulted in equivalent improvement in quality of life but significantly higher residual GSV reflux at 12-month follow-up. Foam less effective
Subject: CONVENTIONAL SURGERY
OBLITERATION
LIGATION
3126 Surgery, anesthesiology, intensive care, radiology
Licens:


Filer under denna titel

Totalt antal nerladdningar: Laddar...

Filer Storlek Format Granska
Randomized_clinical_trial_comparing_surgery.pdf 217.7Kb PDF Granska/Öppna

Detta dokument registreras i samling:

Visa fullständig post