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Early experience of transilluminated cryosurgery for varicose vein with saphenofemoral reflux: review of 84 patients (131 limbs)
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kim, Kwang Yong Kim, Ji Won |
| Copyright Year | 2017 |
| Abstract | PURPOSE Varicose veins with great saphenous vein (GSV) insufficiency is prevalent. Among various surgical treatments for varicose veins, cryosurgery of GSV is an alternative minimally invasive technique that could leave fewer scars and replace conventional stripping with ambulatory phlebectomy. This study sought to assess outcomes including efficacy and safety of cryosurgery for varicose veins. METHODS One hundred thirty-one limbs in 84 patients (37 male, 47 female; mean age, 53.3 years) with varicose veins were treated with cryosurgery over a 2-year period. The patients were followed for postoperative complication with surveillance of recurrence. The analyzed variables included age, sex, symptom, operative time (from skin incision to the application of elastic bandages on the legs for compression purposes), and postoperative complications including bruising, hematoma, superficial thrombophlebitis, cellulitis, seroma, cutaneous nerve damage, and wound complication. RESULTS The mean operative time was 64.7 minutes for both limbs and 44 minutes for single limbs. The median number of incisions was 2. For stripping of GSV, one incision at the groin was necessary. Postoperative complications included an episode of hematoma in 3 limbs (2.3%), cutaneous nerve damage in 3 limbs (2.3%), cellulitis in 2 patients (1.5%), and seroma in 1 limb (0.8%). No wound infection, thrombophlebitis or deep venous thrombosis was observed. During follow-up (mean follow-up period, 13.5 months; range, 3-28 months), there was no recurrence. CONCLUSION Cryosurgery to treat varicose veins is an effective and safe treatment modality in terms of postoperative complication, cosmetic result, and recurrence. |
| Starting Page | 98 |
| Ending Page | 102 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://synapse.koreamed.org/Synapse/Data/PDFData/6037ASTR/astr-93-98.pdf |
| PubMed reference number | 5566753 |
| Alternate Webpage(s) | https://doi.org/10.4174/astr.2017.93.2.98 |
| DOI | 10.4174/astr.2017.93.2.98 |
| Journal | Annals of surgical treatment and research |
| Volume Number | 93 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abducens Nerve Diseases Adrenal cortical hypofunction Bandage Cellulitis Cicatrix Compression Bandages Contusions Cosmetics Cryosurgery Deep Vein Thrombosis Follow-Up Report Gastroesophageal reflux disease Great saphenous vein structure Hematoma Inguinal region Limb structure Operative Surgical Procedures Patients Postoperative Complications Seroma Superficial thrombophlebitis Surgical incisions Varicosity Veins Venous Thrombosis Wound Infection nerve injury wound complication |
| Content Type | Text |
| Resource Type | Article |
