A prospective study of venous hemodynamics and quality of live at least five years after varicose vein stripping
Acta cir. bras
;
28(11): 794-799, Nov. 2013. ilus, tab
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Qualité de vie
/
Veine saphène
/
Varices
/
Hémodynamique
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Acta cir. bras
Thème du journal:
Chirurgie générale
/
Procedimentos Cir£rgicos Operat¢rios
Année:
2013
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
University of Sao Paulo (USP)/BR
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