CHIVA method for the treatment of chronic venous insufficiency

Bellmunt-Montoya, Sergi; Escribano, José María; Dilmé, Jaume; Martinez-Zapata, María José

doi:10.1002/14651858.cd009648.pub2

Cited by 34 publications

(28 citation statements)

References 40 publications

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“…In case of varicose vein due to only perforator incompetence, this procedure is not required and even considered harmful by followers of CHIVA technique (Conservative Treatment and Haemodynamics in Venous Insufficiency in Outpatient Departments). 5 In CHIVA technique after specific venous hemodynamic evaluation, if applicable, only selective perforator ligation is done and stripping is deferred. 6 In our study, the male and female ratio was almost 1:1.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Consecutive Open Surgeries for Varicose Vein at Dhulikhel Hospital

Karmacharya

Shakya

Shrestha

2015

Kathmandu Univ. Med. J.

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BackgroundVaricose veins are prominent dilated veins in the lower limb primarily due to disease in the junction between superficial and deep venous system. Operative treatment of such condition significantly improves quality of life and also demonstrably decreases the potential complications. We present with analysis of fifty one consecutive open surgeries for varicose vein at Dhulikhel Hospital. ObjectiveTo analyze consecutive open surgeries for varicose vein in terms of gender, age, presenting complaints, findings and post operative outcomes. MethodAll the cases posted for open surgeries for varicose vein at Dhulikhel Hospital during September 2012 -July 2013 were included. If great saphenous vein in thigh was more than 3 mm, segmental stripping was done. The collected data was analyzed using SPSS version 13.0. ResultThere were 51 cases with 47%male and 53% female. Mean age was 48.9 years. Prominent dilated vein was the most common presenting complaints. Incompetent saphenofemoral junction was present in 68.6% cases. Segmental stripping was done in 51% cases. Mean days of admission was 2.6 days. Mean pain free day was on 3.2 days. In an average, patient were able to walk normally in 4.1 days. Analysis of hospital admission days, ability to walk normally and pain free day attained in between stripping required and stripping not required group showed significant difference with higher values in stripping required group. ConclusionAlthough conventional stripping surgery has long been performed for varicose vein, this is associated with prolonged hospital admission, prolonged time required for ability to walk normally, and prolonged time taken for pain free status. Hence newer modalities of treatment like radiofrequency ablation is warranted in our setup too.

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Section: Resultsmentioning

confidence: 99%

Analysis of Consecutive Open Surgeries for Varicose Vein at Dhulikhel Hospital

Karmacharya

Shakya

Shrestha

2015

Kathmandu Univ. Med. J.

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“…This is in part achieved by ligating venovenous shunts and pathological recirculating circuits. Given the complexity of this method, we would like to refer our readers to the following review articles . Some authors ascribe a somewhat greater efficacy and patient satisfaction to this method than to classic saphenofemoral ligation and stripping.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…Some authors ascribe a somewhat greater efficacy and patient satisfaction to this method than to classic saphenofemoral ligation and stripping. However, larger studies are needed for a conclusive assessment, especially with respect to efficacy and recurrence rates compared to the classic method .…”

Section: Surgical Proceduresmentioning

confidence: 99%

Chronic venous insufficiency – a review of pathophysiology, diagnosis, and treatment

Santler

Goerge

2017

J Deutsche Derma Gesell

104

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SummaryChronic venous disease is a common disorder associated with a variety of symptoms in later disease stages but also with complications such as venous leg ulcer. This, in turn, has substantial socioeconomic effects and significantly impacts patients' quality of life. While there are a number of diagnostic procedures available, color-flow duplex ultrasound has become the gold standard. As regards therapeutic options, major advances have been made in recent decades. Today, there are alternatives to saphenofemoral ligation and stripping of the great saphenous vein, including endovenous thermal ablation techniques. However, treatment selection continues to depend on many factors such as individual anatomical circumstances and disease stage. The following article provides an overview of the anatomy and pathophysiology as well as current diagnostic and therapeutic standards.

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“…[1] Conservative hemodynamic correction may also be very effective in preventing recurrences and has lesser adverse effects than the surgery like venous stripping. [2] Both treatment and prevention of recurrence of venous ulcers aims to reduce the pressure in the venous system of the lower limb. This can be accomplished by mainly by applying the compression stockings or hosieries on legs, surgical ablation of superficial and/or perforating veins or blocking any incompetent veins by injecting solutions (sclerotherapy).…”

Section: Prevention Of Ulcer Recurrencementioning

confidence: 99%

Prevention of venous leg ulcer recurrence

Shenoy¹

2014

Indian Dermatol Online J

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CHIVA method for the treatment of chronic venous insufficiency

Cited by 34 publications

References 40 publications

Analysis of Consecutive Open Surgeries for Varicose Vein at Dhulikhel Hospital

Analysis of Consecutive Open Surgeries for Varicose Vein at Dhulikhel Hospital

Chronic venous insufficiency – a review of pathophysiology, diagnosis, and treatment

Prevention of venous leg ulcer recurrence

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