Comparison of three different surgical modalities in treatment of varicose veins

Abstract

Total 215 patients with simple varicosis of great saphenous vein underweni surgical treatment in our hospital from February 2007 to January 2012, including 75 cases receiving traditional high ligation segmentation stripping operation (group A), 69 cases receiving endovenous laser light therapy (group B), and 71 receiving minimally invasive translucent atherectomy (group C). The efficacy and postoperative complications were compared among 3 groups. The operation time, intraoperational bleeding and length of hospitalization in groups B and C were significantly less than those in group A (P<0.05). The hospitalization cost of groups A and B was significantly lower than that of group C (P<0.05). The incidence of subcutaneous induration in groups A and B was significantly higher than that of group C (P<0.05). The incidence of subcutaneous congestion in group A was significantly higher than that in groups B and C (P<0.05). The recurrence rate during 2-years of follow-up in groups A and B was higher than that in group C (χ2=8.592, 5.672, P=0.003, 0.016). Three surgical modalities in treatment of great saphenous varicose veins have advantage and disadvantages, the appropriate methods should be chosen based on the characteristics of procedures and the condition and intention of patients. Key words: Varicose veins; Vascular surgical procedures