Efficacy of varicose vein surgery with preservation of the great safenous vein

Detalhes bibliográficos
Autor(a) principal: Barros,Bernardo Cunha Senra
Data de Publicação: 2015
Outros Autores: Araujo,Antonio Luiz de, Magalhães,Carlos Eduardo Virgini, Barros,Raimundo Luiz Senra, Fiorelli,Stenio Karlos Alvim, Gatts,Raphaella Ferreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000300111
Resumo: OBJECTIVE: To evaluate the efficacy of surgical treatment of varicose veins with preservation of the great saphenous vein. METHODS: We conducted a prospective study of 15 female patients between 25 and 55 years of age with clinical, etiologic, anatomic and pathophysiologic (CEAP) classification 2, 3 and 4. The patients underwent surgical treatment of primary varicose veins with great saphenous vein (GSV) preservation. Doppler ultrasonography exams were carried out in the first and third months postoperatively. The form of clinical severity of venous disease, Venous Clinical Severity Score (VCSS) was completed before and after surgery. We excluded patients with history of deep vein thrombosis, smoking or postoperatively use of elastic stockings or phlebotonics. RESULTS: All patients had improved VCSS (p <0.001) and reduction in the diameter of the great saphenous vein (p <0.001). There was a relationship between VCSS and the GSV caliber, as well as with preoperative CEAP. There was improvement in CEAP class in nine patients when compared with the preoperative period (p <0.001). CONCLUSION: The varicose vein surgery with preservation of the great saphenous vein had beneficial effects to the GSV itself, with decreasing caliber, and to the symptoms when the vein had maximum caliber of 7.5 mm, correlating directly with the CEAP. The decrease in GSV caliber, even without complete abolition of reflux, leads to clinical improvement by decreasing the reflux volume.
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spelling Efficacy of varicose vein surgery with preservation of the great safenous veinVenous insufficiencySaphenous veinVaricose veinsSaphenous vein/ultrasonographySaphenous vein/surgery OBJECTIVE: To evaluate the efficacy of surgical treatment of varicose veins with preservation of the great saphenous vein. METHODS: We conducted a prospective study of 15 female patients between 25 and 55 years of age with clinical, etiologic, anatomic and pathophysiologic (CEAP) classification 2, 3 and 4. The patients underwent surgical treatment of primary varicose veins with great saphenous vein (GSV) preservation. Doppler ultrasonography exams were carried out in the first and third months postoperatively. The form of clinical severity of venous disease, Venous Clinical Severity Score (VCSS) was completed before and after surgery. We excluded patients with history of deep vein thrombosis, smoking or postoperatively use of elastic stockings or phlebotonics. RESULTS: All patients had improved VCSS (p <0.001) and reduction in the diameter of the great saphenous vein (p <0.001). There was a relationship between VCSS and the GSV caliber, as well as with preoperative CEAP. There was improvement in CEAP class in nine patients when compared with the preoperative period (p <0.001). CONCLUSION: The varicose vein surgery with preservation of the great saphenous vein had beneficial effects to the GSV itself, with decreasing caliber, and to the symptoms when the vein had maximum caliber of 7.5 mm, correlating directly with the CEAP. The decrease in GSV caliber, even without complete abolition of reflux, leads to clinical improvement by decreasing the reflux volume. Colégio Brasileiro de Cirurgiões2015-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000300111Revista do Colégio Brasileiro de Cirurgiões v.42 n.2 2015reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912015002008info:eu-repo/semantics/openAccessBarros,Bernardo Cunha SenraAraujo,Antonio Luiz deMagalhães,Carlos Eduardo VirginiBarros,Raimundo Luiz SenraFiorelli,Stenio Karlos AlvimGatts,Raphaella Ferreiraeng2015-07-06T00:00:00Zoai:scielo:S0100-69912015000300111Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-07-06T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Efficacy of varicose vein surgery with preservation of the great safenous vein
title Efficacy of varicose vein surgery with preservation of the great safenous vein
spellingShingle Efficacy of varicose vein surgery with preservation of the great safenous vein
Barros,Bernardo Cunha Senra
Venous insufficiency
Saphenous vein
Varicose veins
Saphenous vein/ultrasonography
Saphenous vein/surgery
title_short Efficacy of varicose vein surgery with preservation of the great safenous vein
title_full Efficacy of varicose vein surgery with preservation of the great safenous vein
title_fullStr Efficacy of varicose vein surgery with preservation of the great safenous vein
title_full_unstemmed Efficacy of varicose vein surgery with preservation of the great safenous vein
title_sort Efficacy of varicose vein surgery with preservation of the great safenous vein
author Barros,Bernardo Cunha Senra
author_facet Barros,Bernardo Cunha Senra
Araujo,Antonio Luiz de
Magalhães,Carlos Eduardo Virgini
Barros,Raimundo Luiz Senra
Fiorelli,Stenio Karlos Alvim
Gatts,Raphaella Ferreira
author_role author
author2 Araujo,Antonio Luiz de
Magalhães,Carlos Eduardo Virgini
Barros,Raimundo Luiz Senra
Fiorelli,Stenio Karlos Alvim
Gatts,Raphaella Ferreira
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Barros,Bernardo Cunha Senra
Araujo,Antonio Luiz de
Magalhães,Carlos Eduardo Virgini
Barros,Raimundo Luiz Senra
Fiorelli,Stenio Karlos Alvim
Gatts,Raphaella Ferreira
dc.subject.por.fl_str_mv Venous insufficiency
Saphenous vein
Varicose veins
Saphenous vein/ultrasonography
Saphenous vein/surgery
topic Venous insufficiency
Saphenous vein
Varicose veins
Saphenous vein/ultrasonography
Saphenous vein/surgery
description OBJECTIVE: To evaluate the efficacy of surgical treatment of varicose veins with preservation of the great saphenous vein. METHODS: We conducted a prospective study of 15 female patients between 25 and 55 years of age with clinical, etiologic, anatomic and pathophysiologic (CEAP) classification 2, 3 and 4. The patients underwent surgical treatment of primary varicose veins with great saphenous vein (GSV) preservation. Doppler ultrasonography exams were carried out in the first and third months postoperatively. The form of clinical severity of venous disease, Venous Clinical Severity Score (VCSS) was completed before and after surgery. We excluded patients with history of deep vein thrombosis, smoking or postoperatively use of elastic stockings or phlebotonics. RESULTS: All patients had improved VCSS (p <0.001) and reduction in the diameter of the great saphenous vein (p <0.001). There was a relationship between VCSS and the GSV caliber, as well as with preoperative CEAP. There was improvement in CEAP class in nine patients when compared with the preoperative period (p <0.001). CONCLUSION: The varicose vein surgery with preservation of the great saphenous vein had beneficial effects to the GSV itself, with decreasing caliber, and to the symptoms when the vein had maximum caliber of 7.5 mm, correlating directly with the CEAP. The decrease in GSV caliber, even without complete abolition of reflux, leads to clinical improvement by decreasing the reflux volume.
publishDate 2015
dc.date.none.fl_str_mv 2015-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000300111
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000300111
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-69912015002008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.42 n.2 2015
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
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instname_str Colégio Brasileiro de Cirurgiões (CBC)
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
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