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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dc.contributor.author Vahaaho, S.
dc.contributor.author Halmesmaki, K.
dc.contributor.author Alback, A.
dc.contributor.author Saarinen, E.
dc.contributor.author Venermo, M.
dc.date.accessioned 2019-05-07T21:20:21Z
dc.date.available 2021-12-17T22:02:14Z
dc.date.issued 2018-05
dc.identifier.citation 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
dc.identifier.other PURE: 106323085
dc.identifier.other PURE UUID: af43c57a-9e5f-4607-b4fe-be0f743e4488
dc.identifier.other WOS: 000430058000011
dc.identifier.other Scopus: 85045297210
dc.identifier.uri http://hdl.handle.net/10138/301563
dc.description.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. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof British Journal of Surgery
dc.rights unspecified
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject CONVENTIONAL SURGERY
dc.subject REFLUX
dc.subject RECURRENCE
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization Verisuonikirurgian yksikkö
dc.contributor.organization Department of Surgery
dc.contributor.organization HUS Abdominal Center
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1002/bjs.10757
dc.relation.issn 0007-1323
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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