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EXTERNAL STENTING FOR VARICOSE VEIN – WHY DESTROY WHAT YOU CAN REPAIR?
Author(s) -
Ashrafi M. W.,
Lamont P. M.
Publication year - 2007
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2007.04134_14.x
Subject(s) - medicine , varicose veins , sclerotherapy , surgery , reflux , complication , radiology , disease
Purpose To assess the outcome of EVS on Varicose Veins in a rural community over a period of four years: 53 patients had external stenting. To verify ‘Rod Lane’s ten year results on ‘venocuff’. Methodology Patients with varicose veins with SFR (sapheno femoral reflux) have been treated with Venocuff or Gortacuff in a Tasmanian hospital over the last 4 years. 53 patients with 61 legs out of 191 patients have been taken into consideration. Both groups have been selected on the basis of preoperative U/S. Some of them needed additional multiple stab treatment for leg varicosities and ligation of incompetent perforators. 6 out of 47 patients have been male. An area of 3–4 cm of terminal LSV exposed, tributaries ligated gortex tube sutured as a cuff around the vein or venocuff fitted. All patients are scanned with ultrasound to identify the incompetent cusps. Results– External stenting of varicose veins has encouraging outcomes in selected cases. – Preoperative assessment is easy with US, but there is a learning curve. – It can be done in smaller hospitals and it has minimum complication. – No explantation. – No significant clinical recurrence. – Improvement in all cases.Conclusion– External Stenting is an effective treatment for primary Varicose Veins. – It conserves LSV for future use. – It is a lone voice against a cacophony of obliteration using intravenous laser and sclerotherapy.