Midterm Clinical Outcomes after Modified High Ligation and Segmental Stripping of Incompetent Small Saphenous Veins

Abstract

BackgroundThe aim of this study was to evaluate the midterm clinical outcomes after modified high ligation and segmental stripping of small saphenous vein (SSV) varicosities.MethodsBetween January 2010 and March 2013, 62 patients (69 legs) with isolated primary small saphenous varicose veins were enrolled in this study. The outcomes measured were reflux in the remaining distal SSV, the recurrence of varicose veins, the improvement of preoperative symptoms, and the rate of postoperative complications.ResultsNo major complications occurred. No instances of the recurrence of varicose veins at previous stripping sites were noted. Three legs (4.3%) showed reflux in the remaining distal small saphenous veins. The preoperative symptoms were found to have improved in 96.4% of the cases.ConclusionIn the absence of flush ligation of the saphenopopliteal junction, modified high ligation and segmental stripping of small saphenous vein varicosities with preoperative duplex marking is an effective treatment method for reducing postoperative complications and the recurrence of SSV incompetence.

Comparison of different approaches to small saphenous vein reflux treatment: a retrospective study in two centers

“…7 In a recent study, however, the recurrence rate was shown to be 4.3% among patients undergoing modified high ligation and segmental stripping, although the sample size was small. 10 In our study, on the other hand, the recurrence rate was 31.1% among patients undergoing high ligation + segmental stripping. This can be attributed to the small sample size and to the fact that endovascular treatment methods were not popular at the beginning of the endovascular era when most patients underwent conventional surgery.…”

Safenectomía corta versus larga en el tratamiento de las várices primarias de los miembros inferiores

“…Actualmente, la tarifa en la medicina privada de una ablación oscila entre los USD$ 2.500 y los USD$ 4.000, que se reducen a USD$ 1.500-2.000 en el caso de una safenectomía. Como consecuencia, la mayoría de los servicios públicos de salud a nivel mundial excluyen la ablación de su lista de coberturas asistenciales gratuitas 1,28 . En el caso de una safenectomía quirúrgica unilateral ambulatoria concertada con el Sistema Público Aragonés de Salud, nuestra Clíni-ca factura USD$ 950, incluidos los honorarios del cirujano y del anestesista, consulta, estudio preoperatorio, material fungible y gastos de hospitalización; esto, en vista de las buenas prestaciones que se han obtenido y su bajo costo, le permiten mantener su vigencia.…”