Surgical Management of Varicose Veins (New Modalities Introduction) A Jersey Prospect

M. Aleem
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Abstract

Radiofrequency segmental thermal ablation of great and small saphenous vein with Closure FAST Catheter is superior, widely accepted alternative to conventional ligation and stripping of great and small saphenous Vein in the treatment of lower extremity venous insufficiency. Purpose: This study evaluated endovenous closure for superficial venous insufficiency due to great and short saphenous vein incompetency at Jersey General Hospital. Patient and Methods: During thirty months period patients with symptomatic venous insufficiency were studied, total patient treated were three hundred and sixty two. Patient followed up in clinic after six weeks to report the clinical outcome of treatment and also to register any immediate and late complication from the procedure and recurrence rate. Result: Total number of saphenous vein endovenous closure with Fast closure technique operation performed three hundred and sixty two, with good outcome in three hundred ten patients and poor out come in forty five patients. Conclusion: There are significant advantages in endovascular obliteration of saphenous vein, minimally invasive technique based on endothelial ablation are progressively supplanting conventional surgery in the treatment of varicose veins.
静脉曲张的外科治疗(新模式介绍)泽西展望
射频段性热消融大、小隐静脉联合封闭FAST导管治疗下肢静脉功能不全是一种优于传统大、小隐静脉结扎剥脱的治疗方法。目的:本研究评估在泽西总医院因大隐静脉和短隐静脉功能不全而引起的浅静脉功能不全的静脉内闭合。患者与方法:对症状性静脉功能不全患者进行30个月的观察,共治疗362例。6周后随访患者,报告治疗的临床结果,记录手术的即时和晚期并发症及复发率。结果:隐静脉快速封闭术共施行隐静脉内封闭术362例,效果好310例,效果差45例。结论:血管内隐静脉闭塞术优势明显,以血管内皮消融为基础的微创技术正在逐步取代传统手术治疗静脉曲张。
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