The effect of long saphenous vein stripping on quality of life

Abstract

LSV surgery leads to a significant improvement in disease-specific HRQoL for as much as 2 years. In patients without DVR, stripping to the knee confers additional benefit.

Clinical effectiveness and cost-effectiveness of foam sclerotherapy, endovenous laser ablation and surgery for varicose veins: results from the Comparison of LAser, Surgery and foam Sclerotherapy (CLASS) randomised controlled trial

“…5 However, several studies had shown that many patients with varicose veins had reduced QoL, which was improved following treatment. [6][7][8][9] A randomised controlled trial (RCT) of surgery versus conservative management of patients with uncomplicated varicose veins estimated that the incremental cost per quality-adjusted life-year (QALY) gained was £4682, with a 70% probability that the cost per QALY would be lower than the National Institute for Health and Care Excellence (NICE) threshold of £20,000. 10 …”

Outcome of Ultrasonography-Guided Foam Sclerotherapy Versus Stab Avulsion Ambulatory Phlebectomy in the Treatment of Varicosis in Small Veins of the Leg: A Single Blinded Randomized Clinical Trial

“…Complications arising from ambulatory phlebectomy are quite rare but do exist (4-7), including anesthetic complications, skin complications (blister, keloid formation, dimpling, infection, induration, hypo-or hyperpigmentation, tattooing, and pigmentation), compression bandage complications (swelling, blisters, ischemia, skin necrosis, and contact dermatitis), vascular complications (bleeding, seroma, superficial thrombosis, deep venous thrombosis, pulmonary embolism, or telangiectasias), lymphatic complications (lymphorrhea, persisting edema, lymphocele) and neurological complications (nerve damage, temporary hypoesthesia, dysesthesia, or traumatic neuroma). Despite high efficacy of this procedure to treat lower limb vein varicose, its potential complications led to high patients' dissatisfaction and high cost due to necessity for controlling the complications, prolonged hospitalization, and delaying return to work, and daily activities (8)(9)(10)(11).…”

RFA vs EVLT: A Comparison of Treatment Options for Varicose Veins

“…1,2 Conventional stripping may cause great bruising, postoperative pain, the risks associated with anaesthesia, paresthesia owing to saphenous nerve injury, hematoma and wound infection and lengthen the recovery time of the usual activities. 3 The development of more suitable and flexible instruments and the search for new minimally invasive techniques, with acceptable results in the short and long term, allowed new kinds of treatments, 4 which included Endovenous laser therapy (EVLT), radiofrequency ablation (RFA). RFA produces direct heating of the vein wall, which leads to collagen denaturation, and acute vein constriction.…”