A Randomised Trial to Compare Standard and Invagination Stripping of the Long Saphenous Vein i the Thigh

Tyrrell, Mark; Rocker, Michael; Maisey, Nick; Marshall, RobertE.K.; Taylor, P. R.; Negus, David

doi:10.1007/978-1-4471-3095-6_193

Cited by 7 publications

(3 citation statements)

References 1 publication

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“…[127][128][129] Seven papers report six trials comparing invagination stripping with standard stripping of the LSV. [130][131][132][133][134][135][136] Only one study, by Holme and colleagues, 137,138 was found that compared stripping of the LSV to the knee with stripping to the ankle.…”

Section: Stripping Of the Lsvmentioning

confidence: 99%

Randomised clinical trial, observational study and assessment of cost-effectiveness of the treatment of varicose veins (REACTIV trial)

Michaels

Wb²,

Brazier³

et al. 2006

Health Technol Assess

161

129

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Standard surgical treatment of varicose veins by saphenofemoral ligation, stripping and multiple phlebectomies is a clinically effective and cost-effective treatment for varicose veins, with an ICER well below the threshold normally considered appropriate for the funding of treatments within the NHS. Injection sclerotherapy also appears to be cost-effective, but produces less overall benefit, with a higher ICER than surgery for patients with superficial venous reflux. In minor varicose veins without reflux, sclerotherapy is likely to provide a small average benefit with acceptable cost-effectiveness. Research is needed into methods for accurate and acceptable utility evaluations for conditions with relatively minor effect on HRQoL and also for a validated and standardised method of classification for varicose veins.

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Section: Stripping Of the Lsvmentioning

confidence: 99%

Randomised clinical trial, observational study and assessment of cost-effectiveness of the treatment of varicose veins (REACTIV trial)

Michaels

Wb²,

Brazier³

et al. 2006

Health Technol Assess

161

129

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“…The similarity between the groups in number and size of bruises and haematomas suggests that trauma in the surrounding tissues of the long saphenous vein is similar with the two techniques. Measuring blood loss using a vacuum drain or similar instrument for 24 h postoperatively has been studied and no difference in blood loss between the groups was observed [10].…”

Section: Discussionmentioning

confidence: 99%

Prospective Randomised Trial Comparing Conventional (Babcock) Stripping with Inverting (Pin) Stripping of the Long Saphenous Vein

2002

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Objective: To compare the postoperative morbidity of conventional stripping with inverting stripping of the long saphenous vein in a randomised prospective trial. Methods: One hundred and thirty-six patients with primary uncomplicated long saphenous vein incompetence were randomised to either conventional or inverting stripping of the long saphenous vein. Blood loss, operating time and length of vein stripped were measured intra-operatively. Number and size of haematomas, bruising and diameter of thethrombosed channel were assessed 1 week postoperatively by clinical examination and by duplex ultrasonography. Pain, mobility and analgesia consumption were noted in a daily diary for the postoperative week. Results: Blood loss was significantly lower in the inverting group than in the conventional group, with a median of 50 ml for the conventional group and 20 ml in the inverting group (p<0.0001, Mann-Whitney U-test). Operating time in the inverting group (median: 20 min, interquartile range (IQR): 15–25 min) was shorter than in the conventional group (median: 25 min, IQR 20–30 min; p = 0.0001). The percentage of length of vein removed was greater in the inverting group (p < 0.05). There was no difference between the groups as regards size of haematoma, bruising, or diameter of thrombosed channel, nor was there a difference in postoperative pain, mobility or analgesia consumption. Conclusions: Inverting stripping used less operating time and there was less blood loss perioperatively. There did not appear to be any further benefits to inverting stripping of the long saphenous vein during the early perioperative period.

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“…Sensory nerve lesions are less likely with the frequently used proximal-to-distal invaginated stripping method [240]. The literature does not indicate that any particular method is superior to the others [241][242][243][244][245][246][247][248].…”

Section: Ablation Of Diseased Segments Of Saphenous Veinmentioning

confidence: 99%

S2k guidelines: diagnosis and treatment of varicose veins

Pannier¹,

Noppeney²,

Alm³

et al. 2022

Hautarzt

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Table 1 Clinical classification (C) according to CEAP Class Clinical signs C0 No visible or palpable signs of venous incompetence C1 Spider veins and/or reticular varices C2 Varicose veins C3 Oedema C4a Pigmentation, eczema C4b Atrophie blanche, dermatoliposclerosis C5 Cured venous leg ulcer C6 Active venous leg ulcer in CEAP stage C2, developed progression to CVI [13]. Recommendation 13 An imaging technique shall be used in the context of standardised phlebological diagnosis. The first-choice method shall be duplex ultrasound. If necessary, vein function shall also be measured (e.g., PPG/LRR or VOP). Recommendation 15 Complete, traceable documentation of the findings shall be kept. Recommendation 16 Pathological findings from technical examinations should be tested for clinical significance. Recommendation 139 Invasive treatment of varicose veins during pregnancy should be indicated only in exceptional cases.

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A Randomised Trial to Compare Standard and Invagination Stripping of the Long Saphenous Vein i the Thigh

Cited by 7 publications

References 1 publication

Randomised clinical trial, observational study and assessment of cost-effectiveness of the treatment of varicose veins (REACTIV trial)

Randomised clinical trial, observational study and assessment of cost-effectiveness of the treatment of varicose veins (REACTIV trial)

Prospective Randomised Trial Comparing Conventional (Babcock) Stripping with Inverting (Pin) Stripping of the Long Saphenous Vein

S2k guidelines: diagnosis and treatment of varicose veins

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