Optimal Surgical Timing of High Ligation and Ambulatory Phlebectomy in Treatment of Primary Great Saphenous Varicose Vein_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIAOYi ,  ZHAOJi-chun

Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding author：

ZHAOJi-chun, Email: zhaojc3@163.com

Keywords：

Primary great saphenous varicose vein; High ligation and ambulatory phlebectomy; Surgical timing

DOI：

10.7507/1007-9424.20160051

Video：

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Objective To evaluate optimal surgical timing of high ligation and ambulatory phlebectomy in treatment of primary great saphenous varicose vein. Methods The patients who met the inclusion criteria were divided into simple varicose vein (C2) group and soft tissue complications (C3-C4) group.All the patients were received high ligation and ambulatory phlebectomy.The surgery-related indexes,hospital costs,improvement of quality of life,postoperative recurrence rate were observed. Results All the operations were successful.The operative time,the number of operative incision,and the hospital costs in the C2 group were significantly less than those in the C3-C4 group (P<0.05).The total postoperative complications rate in the C2 group was significantly lower than that in the C3-C4 group (P<0.05).The postoperative AVVQ score on month 3 in the C2 group was significantly lower than that in the C3-C4 group (P<0.05).The postoperative recurrence rate on month 3 had no statistical significance between these two groups (P>0.05). Conclusions Early stage (C2) is the optimal surgical timing of primary great saphenous varicose vein,benefits of surgery and health economics in early stage are significantly better than those in mid-advanced stage (C3-C4).It is suggested that surgery should be underwent at early stage in patients with primary great saphenous varicose vein.

Citation： LIAOYi, ZHAOJi-chun. Optimal Surgical Timing of High Ligation and Ambulatory Phlebectomy in Treatment of Primary Great Saphenous Varicose Vein. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(2): 198-200. doi: 10.7507/1007-9424.20160051 Copy

1.	常光其, 陈翠菊, 陈忠, 等. 慢性下肢静脉疾病诊断与治疗中国专家共识. 中国血管外科杂志:电子版, 2014, 6(3):143-151.
2.	蒋俊豪, 王玉琦. 共识报告-慢性静脉病变CEAP分级法的修订. 中华外科杂志, 2006, 44(1):59-61.
3.	Maurins U, Hoffmann BH, Lösch C, et al. Distribution and prevalence of reflux in the superficial and deep venous system in the general population-results from the Bonn Vein Study, Germany. J Vasc Surg, 2008, 48(3):680-687.
4.	王深明, 姚陈. 慢性静脉性溃疡的研究现状与诊治策略. 中国医学科学院学报, 2007, 29(1):5-8.
5.	时德, 赵渝. 下肢慢性静脉功能不全治疗的再认识. 中国普外基础与临床杂志, 2009, 16(6):421-424.
6.	Yang L, Wang XP, Su WJ, et al. Randomized clinical trial of endove-nous microwave ablation combined with high ligation versus conventional surgery for varicose veins. Eur J Vasc Endovasc Surg, 2013, 46(4):473-479.
7.	CarradiceD, Mekako AI, Fa MR, et al. Randomized clinical trial of endovenouslaser ablation compared with conventional surgery for great saphenous varicose veins. Br J Surg, 2011, 98(4):501-510.
8.	Rasmussen LH, Lawaetz M, Bjoern L, et al. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy andsurgical stripping for great saphenous varicose veins. Br J Surg, 2011, 98(8):1079-1087.
9.	Carradice D, Fa MR, Samuel N, et al. Modelling the effect of venousdisease on quality of life. Br J Surg, 2011, 98(8):1089-1098.
10.	Carradice D, Wallace T, Gohil R, et al. A comparison of the effectiveness of treating those with and without the complications of superficial venous insufficiency. Ann Surg, 2014, 260(2):396-401.
11.	Coleridge-Smith P, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part Ⅰ. Basic principles. Eur J Vasc Endovasc Surg, 2006, 31(1):83-92.
12.	Staniszewska A, Tambyraja A, Afolabi E, et al. The Aberdeen varicose vein questionnaire, patient factors and referral for treatment. Eur J Vasc Endovasc Surg, 2013, 46(6):715-718.
13.	Labropoulos N, Leon L, Kwon S, et al. Study of the venous reflux progression. J Vasc Surg, 2005, 41(2):291-295.
14.	Rabe E, Pannier F, Ko A, et al. Incidence of varicose veins, chronic venous insufficiency, and progression of the disease in the Bonn vein study Ⅱ. J Vasc Surg, 2010, 51(3):791.
15.	Kurz X, Kahn SR, Abenhaim L, et al. Chronic venous disorders of the leg:epidemiology, outcomes, diagnosis andmanagement.Summary of an evidence based report of the VEINES task force.Venous Insufficiency Epidemiologic and Economic Studies. Int Angiol, 1999, 18(2):83-102.
16.	Mcguckin M, Waterman R, Brooks J, et al. Validation of venous leg ulcer guidelines in the United States and United Kingdom. Am J Surg, 2002, 183(2):132-137.

1. 常光其, 陈翠菊, 陈忠, 等. 慢性下肢静脉疾病诊断与治疗中国专家共识. 中国血管外科杂志:电子版, 2014, 6(3):143-151.
2. 蒋俊豪, 王玉琦. 共识报告-慢性静脉病变CEAP分级法的修订. 中华外科杂志, 2006, 44(1):59-61.
3. Maurins U, Hoffmann BH, Lösch C, et al. Distribution and prevalence of reflux in the superficial and deep venous system in the general population-results from the Bonn Vein Study, Germany. J Vasc Surg, 2008, 48(3):680-687.
4. 王深明, 姚陈. 慢性静脉性溃疡的研究现状与诊治策略. 中国医学科学院学报, 2007, 29(1):5-8.
5. 时德, 赵渝. 下肢慢性静脉功能不全治疗的再认识. 中国普外基础与临床杂志, 2009, 16(6):421-424.
6. Yang L, Wang XP, Su WJ, et al. Randomized clinical trial of endove-nous microwave ablation combined with high ligation versus conventional surgery for varicose veins. Eur J Vasc Endovasc Surg, 2013, 46(4):473-479.
7. CarradiceD, Mekako AI, Fa MR, et al. Randomized clinical trial of endovenouslaser ablation compared with conventional surgery for great saphenous varicose veins. Br J Surg, 2011, 98(4):501-510.
8. Rasmussen LH, Lawaetz M, Bjoern L, et al. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy andsurgical stripping for great saphenous varicose veins. Br J Surg, 2011, 98(8):1079-1087.
9. Carradice D, Fa MR, Samuel N, et al. Modelling the effect of venousdisease on quality of life. Br J Surg, 2011, 98(8):1089-1098.
10. Carradice D, Wallace T, Gohil R, et al. A comparison of the effectiveness of treating those with and without the complications of superficial venous insufficiency. Ann Surg, 2014, 260(2):396-401.
11. Coleridge-Smith P, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part Ⅰ. Basic principles. Eur J Vasc Endovasc Surg, 2006, 31(1):83-92.
12. Staniszewska A, Tambyraja A, Afolabi E, et al. The Aberdeen varicose vein questionnaire, patient factors and referral for treatment. Eur J Vasc Endovasc Surg, 2013, 46(6):715-718.
13. Labropoulos N, Leon L, Kwon S, et al. Study of the venous reflux progression. J Vasc Surg, 2005, 41(2):291-295.
14. Rabe E, Pannier F, Ko A, et al. Incidence of varicose veins, chronic venous insufficiency, and progression of the disease in the Bonn vein study Ⅱ. J Vasc Surg, 2010, 51(3):791.
15. Kurz X, Kahn SR, Abenhaim L, et al. Chronic venous disorders of the leg:epidemiology, outcomes, diagnosis andmanagement.Summary of an evidence based report of the VEINES task force.Venous Insufficiency Epidemiologic and Economic Studies. Int Angiol, 1999, 18(2):83-102.
16. Mcguckin M, Waterman R, Brooks J, et al. Validation of venous leg ulcer guidelines in the United States and United Kingdom. Am J Surg, 2002, 183(2):132-137.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Optimal Surgical Timing of High Ligation and Ambulatory Phlebectomy in Treatment of Primary Great Saphenous Varicose Vein

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