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Fırat Tıp Dergisi
2009, Cilt 14, Sayı 4, Sayfa(lar) 260-263
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Surgical Treatment in Lower Extremity Varicose Veins
Ali RAHMAN1, Kadir Kaan ÖZSİN2, Ayhan UYSAL1
1Fırat Üniversitesi, Tıp Fakültesi Kalp ve Damar Cerrahisi A.BD, ELAZIĞ, Türkiye
2Kahramanmaraş Devlet Hastanesi, Kalp Damar Cerrahisi Kliniği, KAHRAMANMARAŞ, Türkiye

Objective: The purpose of this study is to evaluate the results of the surgical therapy in patients with chronic venous disease.

Materials and Methods: One hundred consecutive patients (133 extremities) who underwent primary varicose vein surgery between January 2000 and January 2007 were included in this retrospective study. The patients were evaluated by clinical examination, including CEAP classification (clinical, etiology, anatomical, and pathological), duplex ultrasonography and phlebography employed after inconclusive duplex results.

Results: Of the 100 patients, 66 (66%) were male and 34 (34%) female. The patients' mean age was 34.79 (ranged between 18 and 79). CEAP scores were C2 (52.1 %), C2,3 (25.7%), C2,4 (7.1%), C2,5 (10.7%) and C5 (4.3%). The most frequent symptoms were pain, edema and cramp. The high ligation with stripping was the most commonly applied method (57.1 %). Open subfacial perforator ligation was performed to 21 extremities (15%) additionally. The incidence of sensory impairment was 13.6% and recurrence rate was 5.2 %.

Conclusion: The surgical planning of venous incompetence should based on accurate preoperative assesment by duplex ultrasonography or venography and individualized treatment according to different reflux patterns.


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