Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins

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Vahaaho , S , Halmesmaki , K , Alback , A , Saarinen , E & Venermo , M 2018 , ' Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins ' , British Journal of Surgery , vol. 105 , no. 6 , pp. 686-691 . https://doi.org/10.1002/bjs.10757

Title: Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins
Author: Vahaaho, S.; Halmesmaki, K.; Alback, A.; Saarinen, E.; Venermo, M.
Contributor organization: Clinicum
Verisuonikirurgian yksikkö
Department of Surgery
HUS Abdominal Center
Date: 2018-05
Language: eng
Number of pages: 6
Belongs to series: British Journal of Surgery
ISSN: 0007-1323
DOI: https://doi.org/10.1002/bjs.10757
URI: http://hdl.handle.net/10138/301563
Abstract: Background: New treatment methods have challenged open surgery as a treatment for great saphenous vein (GSV) insufficiency, the most common being ultrasound-guided foam sclerotherapy (UGFS) and endovenous laser ablation (EVLA). This study evaluated the long-term results of surgery, EVLA and UGFS in the treatment of GSV reflux. Methods: Patients with symptomatic GSV reflux were randomized to undergo either open surgery, EVLA or UGFS. The main outcome measure was the occlusion rate of the GSV at 5years after operation. Results: The study included 196 patients treated during 2008-2010; of these, 166 (847 per cent) participated in the 5-year follow-up. At 5years, the GSV occlusion rate was 96 (95 per cent c.i. 91 to 100) per cent in the open surgery group, 89 (82 to 98) per cent after EVLA and 51 (38 to 64) per cent after UGFS (P Conclusion: UGFS has significantly inferior occlusion rates compared with open surgery or EVLA, and results in additional treatments.
Subject: CONVENTIONAL SURGERY
REFLUX
RECURRENCE
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: unspecified
Usage restriction: openAccess
Self-archived version: publishedVersion


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