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A prospective study of venous hemodynamics and quality of live at least five years after varicose vein stripping
Uema, Rogerio Takeyoshi; Dezotti, Nei Rodrigues Alves; Joviliano, Edwaldo Edner; Dalio, Marcelo Bellini; Moriya, Takachi; Piccinato, Carlos Eli.
  • Uema, Rogerio Takeyoshi; University of Sao Paulo (USP). Faculty of Medicine of Ribeirao Preto. Department of Surgery and Anatomy. Division of Vascular and Endovascular Surgery. BR
  • Dezotti, Nei Rodrigues Alves; University of Sao Paulo (USP). Faculty of Medicine of Ribeirao Preto. Department of Surgery and Anatomy. Division of Vascular and Endovascular Surgery. BR
  • Joviliano, Edwaldo Edner; University of Sao Paulo (USP). Faculty of Medicine of Ribeirao Preto. Department of Surgery and Anatomy. Division of Vascular and Endovascular Surgery. BR
  • Dalio, Marcelo Bellini; University of Sao Paulo (USP). Faculty of Medicine of Ribeirao Preto. Department of Surgery and Anatomy. Division of Vascular and Endovascular Surgery. BR
  • Moriya, Takachi; University of Sao Paulo (USP). Faculty of Medicine of Ribeirao Preto. Department of Surgery and Anatomy. Division of Vascular and Endovascular Surgery. BR
  • Piccinato, Carlos Eli; University of Sao Paulo (USP). Faculty of Medicine of Ribeirao Preto. Department of Surgery and Anatomy. Division of Vascular and Endovascular Surgery. BR
Acta cir. bras ; 28(11): 794-799, Nov. 2013. ilus, tab
Article in English | LILACS | ID: lil-695961
ABSTRACT

PURPOSE:

To assess venous hemodynamics and quality of life at lest five years after varicose vein stripping.

METHODS:

We conducted a prospective study with 39 patients (63 limbs) with primary lower limbs varicose veins. Preoperatively, all patients were subjected to clinical evaluation, duplex ultrassound, air plethysmography (APG), and CIVIQ questionnaire of quality of life. By APG, venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) were determined. CIVIQ addresses four domains in course of 20 questions, including states of physical, social, and psychological well-being, and pain level. Varicose veins were treated by standard venous stripping. At least five years after surgery (77.9 ± 10.9 months), patients were reassessed and had clinical examination, duplex ultrasound, APG, and CIVIQ repeated. No late follow-up data was available for 24 patients.

RESULTS:

Preoperative and late postoperative VFI levels were similar, whereas EF (P=0.05) and RVF (P=0.01), as hemodynamic variables, significantly improved following surgery. In the late postoperative period, overall CIVIQ scores were significantly lower (P=0.005), as were scores in all four domains pain (P=0.001), physical (P=0.007), social (P=0.008), and psychological (P= 0.05).

CONCLUSION:

In a small prospective cohort, improvements in venous hemodynamics and in quality of life of patients submitted to standard varicose veins stripping were maintained five years after the procedure.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Quality of Life / Saphenous Vein / Varicose Veins / Hemodynamics Type of study: Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of Sao Paulo (USP)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Quality of Life / Saphenous Vein / Varicose Veins / Hemodynamics Type of study: Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of Sao Paulo (USP)/BR