A prospective study of venous hemodynamics and quality of live at least five years after varicose vein stripping

Acta Cirurgica Brasileira

Rogerio Takeyoshi Uema²  Nei Rodrigues Alves Dezotti¹  Edwaldo Edner Joviliano¹  Marcelo Bellini Dalio¹  Takachi Moriya¹  Carlos Eli Piccinato¹ 

[1] ,University of Sao Paulo (USP) Faculty of Medicine of Ribeirao Preto Department of Surgery and Anatomy,Brazil

关键词: Varicose Veins;    Stripping;    Plethysmography;    Quality of Life;    Surgery;   

DOI  :  10.1590/S0102-86502013001100009

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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