학술논문
Chronic venous ulceration: effectiveness of sapheno-femoral disconnection alone or with long saphenous vein stripping.
Document Type
Article
Author
Source
Subject
*VEINS
*SAPHENOUS vein
*ULCERS
*MEDICAL care for older people
*SURGERY
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*
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Language
ISSN
0007-1323
Abstract
Aims: Elderly patients with chronic venous ulceration may benefit from venous surgery, but often wish to avoid general anaesthesia. The aim of this study was to compare the effectiveness of sapheno-femoral disconnection (SFJD) under local anaesthesia and SFJD plus stripping of the long saphenous vein under general anaesthesia in legs with chronic venous ulceration. Methods: Patients with chronic venous ulceration were assessed with colour duplex imaging to identify those with sapheno-femoral junction reflux. Patients underwent either SFJD alone under local anaesthetic or SFJD with stripping under general anaesthetic. Twenty-four-week ulcer healing rates and 12-month ulcer recurrence rates were compared. Results: The median (range) age of patients undergoing SFJD alone was 81 (46–90) years (n = 30) and of patients undergoing SFJD plus stripping was 68 (31–86) years (n = 83). Age-adjusted 24-week ulcer healing rate was 62 per cent for both groups. Twelve-month ulcer recurrence rates were 14 and 12 per cent, respectively (P = 0.39, Kaplan–Meier survival analysis). Conclusions: SFJD plus stripping has no additional short-term benefit over SFJD alone in legs with chronic venous ulceration. [ABSTRACT FROM AUTHOR]