Endoscopic devascularization of perforating vein in treating patients with varicose veins with perforating vein insufficiency in lower limbs / 中国普通外科杂志

Objective To study the effect of endoscopic devascularization of perforating vein(EDPV)on the treatment of varicose veins with perforating vein insufficiency in lower limbs. Methods Clinical data of 40 patients (53 limbs) with lower limbs varicose veins underwent EDPV were retrospectiely analyzed. Results All patients lower limb ulcers healed in 5～25 days after operation.All patients were followed up for 14 (5～19)months,and no reccurence was found yet. The pigmentation of leg greatly decreased. Conclusions The EDPV is an effective procedure with fewer complications in treating the patients with varicose veins with perforating vein insufficiency in the lower limbs,EDPV has great value of clinical application.

Early surgical treatment for primary lower extremity varicose veins complicated by superficial thrombophlebitis / 中国普通外科杂志

Objective To evaluate the effect of early surgical treatment for primary lower limb varicose veins complicated by thrombophlebitis.Methods The clinical date of 42 patients with primary lower extremity varicose veins complicated by thrombophlebitis treated in 4 years were analyzed retrospectively.The CEAP classification was adopted to establish the diagnoses of the all patieats.In the early stage,high ligation and stripping of the varicase veins were performed.After removal of varicose veins and thrombi,both anti-inflammation therapy and anticoagulant therapy were applied.Results All patients made a good recovery.After surgery,3 patients had skin callous and swelling,and 3 patients had foot nerve paresthesia.But,no serious complications,such as deep venous thrombosis or pulmonary embolism,were observed.The was no recurrence during 2 months to 4 years follow-up.Conclusions Early surgical treatment for primary lower limb varicose veins complicated by superficial thrombophlebitis not only has good results but also helps control of deep venous thrombosis and pulmonary embolism,and other serious complications that can result from superficial venous thrombosis.

Study of endovenous laser therapy for varicosities of lower extremities / 中国普通外科杂志

Objective To evaluate the compositive methods of endovenous treatment with laser in the treatment of superficial varicosities in lower extremities individually.Methods Two hundred ninty-five limbs in 285 patients with chronic venons insufficiency were studied.According to the clinical manifestations,ultrasound and venography and using the clinical-etiology-anatomy-pathophysiology(CEAP) classification of chronic(venous) insufficiency,the patients were grouped A,B and C.Three surgical strategies were used.Group A:Simple endovenous laser therapy(129 limbs,43.72%).Group B: Endovenous laser therapy combined with punctate ligation(143 limbs,48.47%).Group C: Endovenous laser therapy combined with external banding valvuloplasty of superficial femoral vein and punctate ligation(23 limbs,7.8%).Results The cirsoid superficial vein disappeared in all the groups.The color of the skin became lighter,and swelling was reduced.The ulcers healed or shrunk in size.Conclusions Endovenous laser treatment(EVLT) is an(effective) minitraumatic operation for treatment of varicosities of lower extremities.The use of EVLT combined with other surgical procedures is effective treatment for primary deep venous valvalar insufficiency.