Treatment of Varicose Veins with the Establishment of the Vascular Surgery Department at the Day Surgery Center

Abstract

Objective: We established a new department of vascular surgery and have actively used the day surgery center while considering ways for maintenance and improvement of our medical quality and for provision of patient satisfaction. In this study, we confirmed the treatment situations of varicose veins by surgery to examine the effectiveness of the day surgery center. Methods and Subjects: The subjects were 72 patients (91 limbs) who underwent varicose vein surgery during the 19-month period between October 2008 and April 2010. There were 38 men and 34 women, with an average age of 61.9 ± 11.3 years. Stripping surgery was performed in 74 limbs (56 patients), and high ligation in 16 limbs (15 patients). Ulcers were found in 7 of the 74 limbs for which stripping surgery had been performed. Among all the cases, 49 limbs (53.8%) had C3 or more severe disease according to the clinical, etiological, anatomic and pathophysiologic classification. Results: As for complications, one case required venous thrombus removal. The treatment objectives were achieved in all (100%) of the cases. There was only one complaint of leg edema, in the patient who needed venous thrombus removal. Conclusion: With appropriate treatment planning, we were able to perform safe and satisfactory varicose vein surgery in the existing day surgery center.