Varicose Vein Recurrence and Patient Satisfaction 10-14 Years Following Combined Superficial and Perforator Vein Surgery: A Prospective Case Study
2013 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 46, no 3, 372-377 p.Article in journal (Refereed) Published
Objective: To assess real long-term varicose vein recurrence and patient satisfaction following surgical intervention with combined subfascial endoscopic perforator surgery (SEPS) and superficial venous surgery. Method: Prospective consecutive case study (C3-C4). Patients were included March 1993 to September 1998 and 83/104 legs of 80/100 patients were re-assessed 2008; 71 legs underwent duplex ultrasound scanning (DUS). Results: The median follow up was 12 years (range 10-14). Twelve patients/legs had undergone additional vein surgery during follow-up. Incompetent lower leg perforators were noted in 18/71 limbs (25%). Following groin surgery 23/51 (45%) showed a duplex detected groin recurrence, neovascularization dominated 18/23. In legs where primary great saphenous vein (GSV) surgery had been performed, groin recurrence was found in 14/37 (38%). Previously unknown deep vein incompetence was detected in 14/71 legs (20%), six had axial reflux. The correlation between DUS-detected recurrence and remaining symptoms and cosmetic result was low. The overall satisfaction was high, 70/82 (85%). Patient satisfaction did not deteriorate over time (p < .557). Conclusion: Despite a fair number of DUS-detected recurrences, the overall long-term result, from the patients' point of view was surprisingly favorable. Technically well performed open venous surgery seems to result in a durable long-term outcome.
Place, publisher, year, edition, pages
2013. Vol. 46, no 3, 372-377 p.
Long-term follow-up, Neovascularization, Patient satisfaction, Perforator surgery, Prospective study, Subfascial endoscopic perforator surgery (SEPS), Varicose vein recurrence, Varicose vein surgery
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-211467DOI: 10.1016/j.ejvs.2013.05.022ISI: 000326130300020OAI: oai:DiVA.org:uu-211467DiVA: diva2:667145