Surgical treatment for varicose vein / 中国医学科学院学报

ABSTRACT

<p><b>OBJECTIVE</b>To explore the techniques and outcomes of the surgical treatment for varicose vein.</p><p><b>METHODS</b>Totally 2 200 patients with varicose vein received surgical treatment in our hospital from July 2000 to January 2006. The latest techniques for endovenous occlusion were used for most cases, among which 1 802 cases were treated with endovenous laser treatment (EVLT) combined with transilluminated powered phlebectomy (TIPP), 82 cases with radiofrequency endovenous occlusion (RFO) combined with TIPP, and 218 cases with limited invaginated vein stripping and foam sclerotherapy. The remaining 98 cases were treated with laser, radiofrequency or ligation for saphenous vein trunk, and with resection, electric coagulation, and transfixation for vein clusters as additional methods. Perforators were also cut and ligated as well.</p><p><b>RESULTS</b>Satisfied surgical results were obtained in all cases. The average operative time was 40 minutes (range 20-78 minutes).</p><p><b>CONCLUSIONS</b>Limited invaginated vein stripping, EVLT, and RFO can be used to treat saphenous vein reflux. Surgical resection, transfixation, electric coagulation, and sclerotherapy are reasonable options for vein cluster or tributaries. Transection and ligation of the perforators are important. TIPP is ideal for the treatment of vein clusters.</p>