Comparative Study of Operative Tretmant of Varicose Veins According to The Klapp and Smetana Method Versus Myers Method

Emir Solaković,Dragan Totić,Sid Solaković

doi:10.17305/bjbms.2008.2936

Emir Solaković, Dragan Totić + Show 1 more

Open Access

https://doi.org/10.17305/bjbms.2008.2936

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Abstract

Venous abnormalities in lower extremities are among the most frequent disorders that affects general population with significant morbidity and mortality. Usually, the problem consists of a mild form of varicose veins and teleangiectasis. Treatment in this stage of disease is highly recommended since progression can lead to chronic venous insufficiency and chronic disability with very few effective treatment options. The most effective and popular treatment of varicose veins is operative treatment; specifically two different operative procedures: method according to Myers and method according to Klapp and Smetana. We designed this study in order to determine which method is superior based on clinical parameters and patients satisfaction. Our evidence strongly support clinical superiority, as well as patient satisfaction, of Klapp and Smetana method.

Highlights

In Myers method it is accomplished through lots of small, cm incisions directly over branch of varicosities, and varicosities are teased away from surrounding subcutaneous tissue so far proximally and distally as possible through the small incision
Higher frequency of postoperative wound infections is associated with Myers procedure – versus - Table. These are mostly totally harmless incision infections that affect skin and surrounding subcutaneous tissue, averagely spreading not more than cm from the age of the wound and with discrete secretion. This result of the study is understandable since Klap and Smetana procedure is not associated with significant disruption of skin integrity
Before articulating the conclusion itself we wish to emphasis that we weighed all the available evidence according to the data above and their medical consequences. This means we graded all complications in a way they threaten patient’s life and abilities, like deep vein thrombosis weighed more in comparison than infection, and infection more than hemathoma formation

Summary

Introduction

In Myers method it is accomplished through lots of small, cm incisions directly over branch of varicosities, and varicosities are teased away from surrounding subcutaneous tissue so far proximally and distally as possible through the small incision. In Klapp end Smetana procedure varicosities are approached through puncture wounds. With specially designed instruments by Klapp and Smetana, we enter the subcutaneous space and perform destruction and extraction of varicosities with concomitant release of tissue thromboplastin from destructed surrounding fat tissue. Due to the release of tissue thromboplastin, hemostasis is secured and it is not necessary to ligate the avulsed vessels. We were not able to find any study in the available literature (internet and publications) that would offer some kind of answer.

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