Comparisons of complications of ambulatory phlebectomy between unilateral and bilateral limb with varicose vein with day surgery

Abstract

Objective To compare the complications of ambulatory phlebectomy between unilateral and bilateral limb with var- icose vein with day surgery, and further to explore the feasibility of day surgery of unilateral and bilateral limb with varicose veins. Methods From January 2011 to August 2013, 482 patients with unilateral and bilateral limb with varicose vein undergoing high ligation of great saphen0us vein and varicose vein stripping were retrospectively analyzed and followed up 1 month of dischargement and complications of unilateral and bilateral limb with varicose vein with day surgery were compared and analyzed. Patients with unilateral limb varicose vein were 294 （65%） and 188 （35%） patients with bilateral limb varicose vein. Total limbs with varicose vein with were 670, bilateral limb with varicose vein was 56. 1%, and unilateral limb with varicose vein was 43.9%. Results Following 1 month follow-up, wounds knurl or infection symptoms occurred 16 （5.4%） in 294 patients with unilateral varicose vein patients and 15 （8.0%） in 188 patients with bilateral varicose vein. Paraesthesia occurred 38 （ 12. 9% ） in unilateral varicose vein patients and bilat- eral varicose vein limbs in 41 （21.8%）. Limb pain occurred in 67 （22. 8% ） patients with unilateral varicose vein and 71 （37.8%） patients with bilateral varicose vein. With unilateral varicose vein （ 1.7% ） and bilateral varicose vein 10 （5.3%） existed the residual varicose veins, and 1 （0. 3 % ） in patients with unilateral varicose vein and bilateral varicose vein （ 1.1% ） with deep vein thrombosis （DVT）. No statistical difference （ P〉 O. 05 ） was found between complications between unilateral and bilateral limb with varicose vein by ambulatory phlebectomy with day surgery. Conclusions Day surgery for ambulatory phlebectomy in unilateral and bilateral limb varicose vein is safe, effective, and easy promotion and application. Key words: Varicose veins/surgery; Saphenous vein; Postoperative complications; Retrospective studies