Strategy for Varicose Veins in Our Institute: Retrospective Study of Clinical Outcome and Treatments

Abstract

A retrospective study was performed on 469 limbs of 448 patients who were treated in our institute from June, 1999 to November, 2003. Among them, 31 limbs were performed sclerotherapy only, 394 limbs were high ligation and/or sclerotherapy on outpatient clinic, 44 limbs of 31 patients were stripping and/or concomitant operations on admission. In admission group, active ulcer was seen in 10 limbs, healed ulcer was in 3 limbs. Only 15 limbs in 99 limbs with pigmentation were treated by operations on admission. On the other hand, 10 limbs in 11 limbs with active ulcer were treated by operations on admission. These results suggested that the patients who had active ulcer were recommended to perform operation on admission. The patient’s satisfaction after treatment in both groups were achieved approximately 95%. In conclusion, it is most important to select an adequate treatment and procedure that meet each patient’s needs and produces the best clinical outcome without complications.