Measuring the Quality of Life in Patients with Chronic Venous Disease before and Short Term after Surgical Treatment—A Comparison between Different Open Surgical Procedures

Abstract

Chronic venous disease (CVD) is a common pathology that significantly affects the quality of life (QoL) of patients. Methods: QoL was assessed in 317 patients diagnosed with CVD who underwent surgeries, including cryostripping (n = 113), high ligation and stripping (HL&S, n = 96), and phlebectomies (n = 108). CVD symptoms and QoL were assessed before surgery and 2 weeks after surgery using the following questionnaires: CIVIQ-20, VAS, Eq-5D, PHQ-9 and GAD-9. Results. The results reveal a significant correlation (p < 0.05) between CEAP score and QoL questionnaires performed preoperatively and postoperatively in all three surgical technique groups, with a statistical improvement postoperatively. Phlebectomy had the best postoperative QoL score (r = 0.495) compared to the other two types of procedures. Conclusions: Analyzing patients’ subjective perception following conventional surgery for CVD treatment, an improved QoL is observed both in functional and psychosocial aspects, even early postoperatively. Classical surgical procedures remain an effective and feasible option in CVD treatment.

Acquired Von Willebrand Factor Deficiency at Patient-Prosthesis Mismatch after AVR Procedure—A Narrative Review

“…In these cases, the etiology of deep venous thrombosis must be differentiated from other causes, such as chronic venous disease [ 29 ]. These complications can have a significant impact on patient quality of life and can also increase the risk of morbidity and mortality [ 30 ].…”

The Controversy of Using Insufficient Great Saphenous Veins in Coronary Artery Bypass Grafting: A Comparative Morphological Analysis of Healthy and Insufficient Veins Related to the Possibility of Using Them as a Graft

“…This observation challenges conventional reservations and prompts a reconsideration of the potential utility of varicose veins in bypass surgeries. In the context of coronary and vascular diseases, particularly the high prevalence of chronic venous disease [ 9 , 10 ], the exploration of alternative graft options gains significance. It is noteworthy that varicose veins, despite their historical exclusion from the pool of autologous veins for grafting, may offer a pragmatic solution when suitable alternatives are lacking.…”

Xioglican Cream in Italian Patients with Chronic Venous Disease: A Post-Marketing Study Investigating Effects on Clinical and Cutaneous Signs and Symptoms

“…Conservative treatment with various topical agents may be useful in managing CVD, particularly in patients with specific wound characteristics, although robust evidence on efficacy is currently lacking [4,[13][14][15]. Surgical approaches may provide more effective relief of symptoms and improve patients' QoL more than conservative treatment with compression hosiery and lifestyle modifications, particularly in patients with uncomplicated varicose veins [13,16,17]. Furthermore, newer minimally invasive alternatives, such as cryostripping and endovenous laser therapy, have been shown to be safe and effective in CVD, reducing the trauma of conventional stripping procedures while reducing complications and recurrences [18].…”