Treatment pattern of consecutive patients with chronic venous disease

Crawford, Joel M.; Gasparis, Antonios P.; Amery, Sahar; Labropoulos, Nicos

doi:10.1016/j.jvsv.2018.08.011

Cited by 8 publications

(2 citation statements)

References 12 publications

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“…The insufficient veins must be occluded or removed. A significant percentage of patients with CVD require surgical vein ablation as a therapeutic method [ 3 ]. Stripping operations and the less invasive endovenous thermal ablation have shown comparable results in saphenous vein insufficiency treatment [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Cryostripping—A Safe and Efficient Alternative Procedure in Chronic Venous Disease Treatment

Matei

Anghel

et al. 2022

JCM

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Objective: The presentation of cryostripping as an alternative procedure useful in venous insufficiency treatment. Methods: This retrospective study presents the results of 1087 operated patients, including follow-ups. Cryostripping was practised in all mentioned cases. Patient follow-up was performed at one week, one month, and six months postoperatively by clinical examination, Doppler ultrasonography, CIVIQ-20 and r-VCSS questionnaires. Outcomes, complications, surgery and hospitalisation period, and benefits of the method were analysed. Results: Generally, good functional and aesthetic outcomes defined by clinical symptom remission, absence of insufficient veins on Doppler ultrasonography, QoL and r-VCSS improvement (p < 0.001) were obtained. Complications included bruising ⌀ < 2 cm (32.38%), haematoma (8.92%), saphenous nerve injury (3.49%), deep vein thrombosis (0.18%). Recurrence was noted in 2.94% cases. Mean duration of procedure was 42 ± 12.5 min, mean duration of hospitalisation was 1.05 ± 0.36 days. Compared to high ligation and conventional stripping, the postoperative complications were reduced; compared to other minimally invasive procedures, the costs were reduced. Conclusions: Cryostripping seems to combine the radicality and efficacy of the stripping technique with the cosmetic advantage of the endothermal procedures, being an effective therapeutic method perfectly adapted to the economic conditions of middle-income countries health system. It is also suitable as day-case surgery.

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Section: Introductionmentioning

confidence: 99%

Cryostripping—A Safe and Efficient Alternative Procedure in Chronic Venous Disease Treatment

Matei

Anghel

et al. 2022

JCM

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“…Patients initially seek treatment to relieve symptoms of leg pain, discomfort, heaviness, and swelling, and for an overall QoL improvement [ 5 ]. A significant percentage of patients with CVD require various surgical procedures as a therapeutic method, those having a significant psychosocial and economic impact [ 6 , 7 ]. In the recent decade, the recommendations for managing symptomatic varicose veins have changed dramatically due to the rise of minimally invasive endovascular techniques.…”

Section: Introductionmentioning

confidence: 99%

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

Matei

Dumitru

Radu

2022

JCM

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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.

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Significant physician practice variability in the utilization of endovenous thermal ablation in the 2017 Medicare population

Mann

Wang

Schul³

et al. 2019

Journal of Vascular Surgery: Venous and Lymphatic Disorders

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Treatment pattern of consecutive patients with chronic venous disease

Cited by 8 publications

References 12 publications

Cryostripping—A Safe and Efficient Alternative Procedure in Chronic Venous Disease Treatment

Cryostripping—A Safe and Efficient Alternative Procedure in Chronic Venous Disease Treatment

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

Significant physician practice variability in the utilization of endovenous thermal ablation in the 2017 Medicare population

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