2006 Volume 17 Issue 3 Pages 191-196
The purpose of this study was to evaluate surgical results for primary varicose veins with non invasive examination of venous function. Nine hundred twenty five limbs with primary varicose veins treated by surgical procedure from January 2002 to December 2004 were studied. Six hundred fifty two limbs were treated with stripping (Group L-Str), 175 limbs were treated with high ligation and main stem foam sclerothrapy (Group HL+Scl), 107 were with short saphenous stripping (Group S-Str), and 20 limbs were treated with limited stripping below Dodd perforating vein (Group Dodd). Pre-operative venous dysfunction was evaluated by duplex scan and air-plethysmography, and post-operative improvement of venous function was examined with air-plethysmography. The mean diameter of saphenous vein at the middle thigh was 6.6 mm in Group L-Str, 5.3 mm in Group HL+Scl, and 5.3mm in Group Dodd pre-operatively. The mean diameter of short saphenous vein was 7.4 mm in Group S-Str. The Group L-Str had significantly higher preoperative values of venous filling index (VFI) than in the other groups. A significant decrease and normalization of the VFI was observed in the all Groups, 5.5 ml/sec to 1.6 ml/sec in Group L-Str, 2.9 ml/sec to 1.3 ml/sec in Group HL+Scl, 3.4 ml/sec to 1.7 ml/sec in Group S-Str, 2.8 ml/sec to 1.5 ml/sec in Group Dodd. It is concluded that the venous insufficiency could be controlled by adequate operation in all groups. The adequate operative method for each group could be decided by preoperative non invasive examination, Doppler sonography and air-plethysmography.
