Estudi comparatiu entre la cirurgia de varices per fleboextracció de safena i pel mètode de Cura conservadora Hemodinàmica de la Insuficiència Venosa Ambulatòria (CHIVA).
SUMMARY: "SURGICAL TREATMENT OF VARICOSE VEINS: COMPARATIVE STUDY BETWEEN TWO DIFFERENT TECHNIQUES" OBJECTIVE: To compare the results obtained after five years of surgical treatment of varicose veins using two different modalities of treatment: long saphenous vein stripping and conservative haemodynamical technique (CHIVA) Material and methods: Randomised prospective study on a population of 100 patients with varicose veins. 62 women/38 men. Mean age 49 years. Inclusion criteria: varicose veins clinically depending of long saphenous vein. Exclusion criteria: deep venous system abnormality, previous treatment on varicose veins. All patients had a duplex study (ATL Ultramark 9HDI) recording a mapping of the superficial venous system. 49 patients were submitted to stripping (Group I) and 51 patients were submitted to CHIVA (Group II). Not statistical differences according to CEAP classification. Control on the first week, first, third and sixth months and annually for five years. We analysed clinical and aesthetic (subjective and objective) over the five years as reflecting recurrence. RESULTS: We observed working disability of 19.2 days and 22.4% of saphenous nerve neuritis for group I and 7.8 days and 0% neuritis in group II. In group II we detected 25.5% saphenous phlebitis (11.7% symptomatic) at first month which solved after six moths follow-up. CONCLUSIONS: There are no statistical differences on clinical and esthetical results after five years follow-up between these two different surgical treatments of varicose veins. According to our results, CHIVA technique offers better results related to clinical recovery and neuritis. However, it produces LSV phlebitis recovered in the majority of patients.
Advisor:Barjau Urrea, Eudald; Cairols Castellote, Marc Antoni
School:Universitat de Barcelona
Source Type:Master's Thesis
Date of Publication:02/01/2008