INCIDENCE AND CAUSES OF RECURRENT VARICOSE VEINS IN SOHAGE | ||
| The Egyptian Journal of Surgery | ||
| Volume 31, Issue 4, October 2012, Pages 168-174 PDF (535.43 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2012.367252 | ||
| Authors | ||
| Asser A. Gouda* 1; Mohammad A. Abusedera2 | ||
| 1Department of Vascular Surgery, Faculty of Medicine, Sohag University, Egypt | ||
| 2Department of Diagnostic Radiology, Faculty of Medicine, Sohag University, Egypt | ||
| Abstract | ||
| Objective: To assess the incidence and causes of recurrence of varicose veins in the Sohag Faculty of Medicine Hospital. Patients and Methods: A prospective observational study was carried out in Vascular Surgery and Radiology Departments of Sohag Faculty of Medicine Hospital. Seventy four patients, 46 female and 28 male (89 limbs) with a mean age (41 years) (range 25-57) were evaluated prospectively preoperative and postoperative at one month, one year, and one and half year following surgery by clinical examination and Duplex examination. Varicose veins were treated either by restricted stripping or total stripping Results: The overall recurrence rate by Duplex following stripping operation was 19% (17/89). Twenty seven percentage (5/16) of patients who were subjected to restrict stripping and only 16%(12/73) was the recurrence rate for patients who were subjected to total long saphenous vein stripping (LSV). The causes of recurrence were due to: 1) True recurrent varicose veins, in 29.4% (5/17) limbs, caused by neovascularization in 4 limbs and tactical errors in one case. 2) New veins in 23.5% (4/17) limbs as a result of disease progression. 3) Residual veins in 11.8% (2/17) limbs. 4) Complex pattern in 35.3% (6/17) limbs. In limbs presented with recurrent varicose veins, (41) sources of refluxes were seen: (7/41) new set of veins caused by disease progression, (5/41) caused by neovascularization, (6/41) caused by tactical errors, (2/41) caused by technical errors and (21/41) caused by complex pattern. Conclusion: Despite of preoperative and operative precautions, there is still an unavoidable percentage of recurrence, mainly caused by neovascularization and disease progression. The total stripping of LSV is more favorable than restricted stripping. | ||
| Keywords | ||
| Varicose veins; recurrence; Color Doppler Imaging CDI; restricted stripping; total stripping | ||
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