Vein Stripping Research Articles

Total Stripping of the Great Saphenous Vein in Varicose Vein Patients with Thrombophlebitis

Introduction. Patients with varicose disease of the lower extremities may suffer from subcutaneous vein thrombophlebitis with an incidence of more than 50%. However, saphenous vein thrombophlebitis occurs against the background of varicose veins in 80% of patients. Aim. To improve the efficacy of phlebectomy in patients with varicose veins complicated by saphenous vein thrombophlebitis. A modified method of total stripping of the great saphenous vein was developed and introduced into clinical practice in City Clinical Hospital No. 21 (Ufa, Russia). The modified surgical technique is aimed at reducing the severity of postoperative hematomas, increasing the cosmetic effect and reducing the incidence of damage to the cutaneous nerve located near the large saphenous vein. The surgery technique was patented (Patent No. RU2812293C1). Materials and methods. From 2022 to 2023, total stripping of the great saphenous vein was performed in 26 patients with varicose veins of the lower extremities and thrombophlebitis of the great saphenous vein in Cardiac Surgery Department of City Clinical Hospital No. 21. The examined patients were divided into a control group (18 patients) and a comparison group (8 patients). The quality of life of all patients was assessed before and after surgical intervention using the Visual Analog Scale (VAS). Results and discussion. All patients underwent total stripping of the great saphenous vein. Prior to surgery, no statistically significant difference was reported in the assessment of quality of life between the groups. The group of the modified stripping technique demonstrated positive clinical and aesthetic results after surgery. Performing total stripping of the great saphenous vein using the modified technique statistically significantly improved the quality of life in the postoperative period. Control points of examinations were on days 1, 7, 30, 90 after surgery. Conclusion. The comparative analysis of the treatment results proved the efficacy of the modified technique of total stripping in varicose vein patients with thrombophlebitis, including a higher level of quality of life, better clinical and aesthetic result of surgical treatment.

Progress and Current Status of Treatment for Lower Limb Varicose Veins

Varicose veins of lower extremities are common venous diseases of lower extremities in clinic [1]. The total number of patients with varicose veins of lower extremities in China has exceeded 100 million, and the incidence rate is about 15% [2]. Therefore, there is a huge number of illnesses and a demand for surgical treatment. At present, the main treatment options for lower limb varicose veins include conservative treatment and surgical treatment. Surgical treatment methods include traditional surgery and minimally invasive surgery. The high ligation and stripping of the great saphenous vein has always been the gold standard for the treatment of lower limb varicose veins. This method is technically mature and clinically effective, but it is a destructive surgery that uses a stripping device to forcefully pull. Therefore, the intraoperative trauma is large, the amount of bleeding is high, and a series of postoperative complications such as hidden nerve damage, subcutaneous congestion, incision bleeding, deep vein thrombosis, etc. are prone to occur. With the increasing demand for skin aesthetics and reducing postoperative complications, minimally invasive surgery has gradually been applied to the treatment of lower limb varicose veins, such as intracavitary laser ablation, intracavitary radiofrequency ablation, Tri Vex minimally invasive rotary cutting, hemodynamic correction, etc. [3]. This article provides a review of the current main treatment methods for lower limb varicose veins, in order to further understand and master the principles and application scope of each treatment method, and to better select personalized treatment plans for varicose vein patients in the future.

Comparison of Long-Term Results of Endovenous Ablation Techniques and Classical Stripping Operations in the Treatment of Venous Insufficiency

Comparison of Long-Term Results of Endovenous Ablation Techniques and Classical Stripping Operations in the Treatment of Venous Insufficiency

Stasis and Inflammation in Varicose Vein Development: An Interleukin-Mediated Process from Intima to Media

Introduction: This study investigated the combination of venous stasis and inflammation in varicose vein development. Methods: The study included patients with primary varicose veins operated using high ligation and stripping of greater saphenous vein. All of them showed reflux at sapheno-femoral junction on preoperative Doppler ultrasound. Mesenteric veins from early or advanced gastric cancer specimens were used as control group. Inflammatory mediators expressed in the venous wall were measured via immunohistochemistry and compared between the two groups. Results: Thirty-five (59.3%) men and 24 women with a mean age of 52.8 years (range, 23–77 years) were included and 29 (49.2%) patients had edema or skin changes according to Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification and reporting standards for chronic venous disorders. The expression of interleukin 6 (IL-6) and transforming growth factor β1 (TGF-β1) in intima and those of IL-6 in media of greater saphenous veins increased, with statistically significant differences between the two groups (p < 0.001). IL-6 in media and TGF-β1 levels in intima were independent predictors of varicose veins (adjusted odds ratios 74.62 and 66.69, respectively). Conclusion: Elevated venous pressure represented by reflux on Doppler ultrasound and increased expression of inflammatory cytokines including IL-6 in media and TGF-β1 in intima are associated with the development of varicose veins.

Efficacy and Safety of Radiofrequency Ablation and Trendelenburg Procedure for Varicose Vein Treatment in a Tertiary Care Hospital

Context: Varicose veins have been conventionally treated by Trendelenburg procedure, which includes below-knee phlebotomies, juxta-femoral flush ligation of saphenous veins, and below-knee vein stripping. However, radiofrequency ablation (RFA) therapy, a less invasive method that uses high-frequency alternating current to cause thermal damage to the venous tissue, has become increasingly popular due to its reduced adverse effects. This study aimed to compare these two methods regarding early ambulation, return to work, postoperative pain severity, recovery time, and complication rates. Aims: To compare the effectiveness and safety of open procedure compared to endovenous ablation. Settings and Designs: An analytical cross-sectional study was prospectively conducted at Saveetha Medical College in Chennai. Subjects and Methods: This analytical cross-sectional study, conducted prospectively from May 2020 to May 2023, involved 100 individuals diagnosed with varicose veins. Participants were followed up at 3-, 6-, and 12-month intervals. The study was carried out at Saveetha Medical College in Chennai. Fifty patients were treated using the Trendelenburg method (Group I), while 50 patients received RFA (Group II). The data on early ambulation, return to work, postoperative pain severity, recovery time, and complication rates were collected and analyzed using the Epi Info 7 version. Results: Group I did not show any significant complications, such as bleeding, hematoma, or inflammation, compared to Group II. Notably, in Group II, there was an earlier hospital discharge, faster return to daily activities and work, and faster patient mobilization. Conclusions: This study concludes RFA, compared to the Trendelenburg method, has early ambulation, early return to work, reduced postoperative pain, swift recovery, and fewer complications. Consequently, we recommend RFA as their primary surgical option for patients with varicose veins in the lower limbs.

EndoVenous-assisted invaginated stripping of the great saphenous vein: A pilot and feasibility study.

Objective: By incorporating an endovascular component into Great Saphenous Vein stripping, EndoVenous-assisted Invaginated Stripping (EVIS) aims to make the procedure minimally invasive. A study was conducted to investigate the surgical intervention. Methods: Sketches and videos were used to illustrate the technical aspects of EVIS. A prospective cohort study included 20 patients with chronic venous insufficiency (CVI). Results: EVIS is performed as a day-surgery. Technical success was 100%, and no complications were recorded. The mean operative time was 45 minutes, intraoperative pain score was 4.8, post-operative pain was 2.5, 1.8, 1.2, 0.5 at 48hours, 1, 4, and 12weeks, respectively. The mean blood loss was 15mL, and the mean length of the GSV strapped was 19cm. The follow-up duplex showed a reduction in the diameter of the residual GSV stump. Conclusions: EVIS is a combination of standard techniques that may prove valuable in managing CVI.

Homogeneous Zn2+ flux and rapid ion-transport kinetics for highly reversible Zn anodes based on Fluorapatite aerogels interfacial engineering

The low invertibility of Zn-based electrodes actuated with corrosion, surface passivation as well as dendrite growth seriously limits the commercial usability of Zn-based batteries. In this study, the above-mentioned issues have been addressed using fluorapatite aerogel (FA) interfacial engineering, which has been proposed for the development of a high-performance ion-transport modulator that offers the ability to concurrently promote ion-transport kinetics and regulate uniform Zn2+ flux. The FA layer with an ordered mesoporous structure was employed as an ion-sieve to achieve homogenous deposition of Zn and acceleration of the Zn2+ flux. This strategy proved quite useful in suppressing the growth of dendrites as well as enhancing corrosion resistance. Importantly, the aerogel with the lightweight feature interlayer contains abundant ion-transport channels that facilitate the Zn2+ ion-transport kinetics. Also, a Zn/Zn cell was constructed using the FA-modified separator that displayed stable stripping and plating operation (exceeding 1000 h for a current density (Id) equal to 1 mA cm−2), attaining a Coulombic efficiency value as high as 99.8 % at Id = 1 mA cm−2 following 100 cycles. Additionally, the prepared Zn||MnO2 battery exhibited outstanding long cyclic stability while maintaining a large capacity of 154.9 mA h g−1 following 1000 cycles at 1 A g−1. This article thus presents a viable strategy for the mass production of separators functionalized using aerogel for the realization of ultra-stable Zn metal batteries.

Complications of Endovenous Ablation Vs Surgical Stripping of Varicose Veins

Complications of Endovenous Ablation Vs Surgical Stripping of Varicose Veins

Natural Treatment Approaches For Varicose Veins: A Brief Review Of The Literature

Chronic venous insufficiency (CVI) is a widespread condition affecting millions worldwide. Each year, approximately 150,000 new patients are diagnosed with CVI, and nearly $500 million is used in the care of these patients. Blood flow in the venous system has intact valves and muscle pumps to allow blood to flow back to the heart against gravity. The inadequacy of these systems leads to difficulties in blood circulation, resulting in blood reflux, blood pooling, and venous hypertension. The condition mentioned above can lead to the development of varicose veins, edema, discomfort, alterations in the skin, and potentially even the formation of ulcers. Conditions that induce CVI genetic predisposition, obesity (body mass index greater than 30), continuous standing/sitting work, age, pregnancy, gender, and lifestyle. Conventional venous insufficiency treatments include compression therapy, surgical interventions like vein stripping, and sclerotherapy. Venoactive drugs used in conservative treatment have the potential to enhance both varicose veins and symptoms associated with chronic venous disorders throughout all stages of venous insufficiency. In addition to synthetic drugs, naturally derived coumarins, flavonoids, rutin derivatives, pycnogenol, micronized purified flavonoid fraction, and saponosides are essential in the treatment. Medicinal plants and natural compounds are highly preferred for treating CVI and varicose veins due to their biological activities, such as anti-inflammatory, antioxidant, and vascular tone improvement. The present review provides a concise overview of the utilization of natural compounds and plant extracts in treating varicose veins, both in medical practice and traditional folk medicine.

One-step detection of glutathione based on MnO2 nanosheet and pregnancy test strip

Low cost and rapid detection of glutathione (GSH) has important clinical reference value for the diagnosis and treatment of related diseases. In this study, a one-step method for rapid detection of GSH is developed based on the characteristics of low cost, simple operation and rapid color development of pregnancy test strip. In this method, magnetic Fe3O4-doped MnO2 nanosheet is first synthesized, and colloidal gold probe modified with hCG and ssDNA is absorbed on the surface of the nanosheet. Based on the oxidase-like properties of MnO2 nanosheet, in the presence of GSH, a redox reaction between GSH with MnO2 occurs to release hCG signal probe into the solution. The supernatant solution is loaded on pregnancy test strip after magnetic separation, and the test line develops color. Then the smartphone App developed in our lab is used to quantitatively detect GSH. The results show that under the optimal conditions, the GSH in the range of 40–800 μM has a good linear relationship with the color intensity of the test line on pregnancy test strip and the detection limit for GSH is 40 μM. So, this method can realize the detection of GSH with low cost, simple, rapid and sensitive, and it can meet the requirements of GSH detection in actual samples.

Disparities in access to endovenous treatment options in chronic lower extremity superficial venous insufficiency: A national 7-year analysis

ObjectiveThe goal of this study was to analyze trends in treatment access for chronic superficial venous disease and to identify disparities in care. MethodsThis retrospective study was exempt from institutional review board approval. The American College of Surgeon National Surgical Quality Improvement Program database was used to identify patients who underwent vein stripping (VS) and endovenous procedures for treatment of chronic superficial venous disease. Endovenous options included radiofrequency ablation (RFA) and laser ablation. Data was available from 2011 to 2018 and demographic information was extracted for each patient identified by Current Procedural Terminology codes. For all racial and ethnic groups, trend lines were plotted, and the relative rate of change was determined within each specified demographic. ResultsThere were 21,025 patients included in the analysis. The overall mean age was 54.2 years, and the majority of patients were female (64.8%). In total, 27.9%, 55.2%, and 16.9% patients underwent VS, RFA, and laser ablation, respectively. Patients who received laser ablation were older (P < .001). Hispanic ethnicity was associated with significantly lower odds of receiving endovascular thermal ablation (EVTA) over VS (odds ratio [OR], 0.71; 95% confidence interval [CI], 0.64-0.78; P < .001). American Indian/Alaska Native patients were more likely to receive EVTA over VS (OR, 4.02; 95% CI, 2.48-6.86); similarly, Native Hawaiian/Pacific Islander patients were more likely to receive EVTA over VS, although this difference was not statistically significant (OR, 1.44; 95% CI, 0.93-2.27). On multinomial regression, Hispanic patients were less likely to receive RFA over VS, whereas American Indian/Alaskan Native patients were more likely to receive RFA over VS. In all racial and ethnic groups, the percentage of endovenous procedures increased, whereas vein stripping decreased. ConclusionsBased on a hospital-based dataset, demographic indicators, including age, sex, race, and ethnicity, are associated with differences in endovenous treatments for chronic superficial venous insufficiency suggesting disparities in obtaining minimally invasive treatment options among certain patient groups.

Radiofrequency ablation versus stripping of great saphenous vein in the management of varicose veins

Background: Varicose veins are defined as dilated, tortuous subdermal veins &gt;3 mm in diameter. It is a common entity affecting an estimated 10% of population. Aims and Objectives: The aim was to compare the efficacy of radiofrequency ablation (RFA) with great saphenous vein (GSV) stripping in patients with lower limb varicose veins in terms of disappearance of visible varicosities. Materials and Methods: It was a prospective randomized controlled study, conducted in a tertiary care medical college with the study population consisting of patients suffering from varicose veins. Totally 30 patients were enrolled and divided into 2 groups of 15 patients each. Group A underwent RFA while Group B underwent stripping of GSV with flush ligation of saphenofemoral junction. Results: The mean duration of the procedure in Group A was 53.67±6.6 min while in Group B it was 101.4±11.85 min which was statistically significant (P&lt;0.0001). The mean duration of return to routine activities and work was 2.2±0.41 days in Group A and 3.07±1.16 days in Group B which was statistically significant (P=0.024). Post-operative analgesic requirement was similar in both groups (P=0.224). Complete remission was observed in all patients at 12 months visit and there was no recurrence identified even after a follow-up period of 4 years. Conclusion: RFA was found to be as effective as stripping of GSV in terms of obliteration of veins. The duration of procedure was found to be much less in RFA. Furthermore, cosmetic results, ulcer healing and patient satisfaction rate was better in RFA group. Patient return to normal activity was significantly earlier in RFA group.

Substantiating the rational parameters for a complicated non-transport system when mining low-thickness fireclay deposits

The paper examines a complicated non-transport system for mining a gently sloping fireclay deposit using ESH-10/70 dragline excavators. The research purpose is to substantiate the technological scheme of stripping operations and determine their parameters to reduce the strip-mining costs. Theoretical research is performed using the following methods: methods of scientific analysis of theoretical research, as well as practices of project and production organizations; mining-geometric calculations; variant method for comparing and selecting a mining system. As a result, the dependence of the excavator block mining velocity on the entry way width has been determined, which makes it possible to study the relationship between mining and stripping equipment in time. The change in the re-excavation coefficient depending on the width of the dragline excavator entry way has been studied and its rational value has been determined. The practical value of the research results is in the substantiation of an effective system for mining a gently sloping fireclay deposit.

The Impact of Age on the Outcomes Following High Ligation and Stripping for Lower Extremity Venous Insufficiency: A Cohort Study.

Background: Varicose veins represent a pathology with a frequent number of cases that require surgical treatment. High saphenous ligation and stripping is still a feasible surgical intervention in selected cases. The present study aims to identify age as a prognostic factor after high saphenous ligation and stripping. Material and Methods: The cases of patients admitted between 2016 and 2023 with varicose disease for which high ligation and stripping were performed were prospectively analyzed. 167 patients met the inclusion and exclusion criteria, being divided into two groups: Group I 114 patients under 60 years of age and Group II 53 patients over 60 years of age. Patients were followed in the postoperative period at 1 month and 6 months, respectively, and data were collected using several questionnaires: CEAP, VAS, VCSS and AVVQ. Results: Class 4, according to the CEAP classification, was the most frequently involved regardless of age category (Group I: 49.12%, Group II: 49.06%), followed by class 2 (Group I: 41.22%, Group II: 35.85%). In the preoperative period there were statistically significant differences between the two groups regarding VAS (p = 0.041) and AVVQ (Group I: 12.51 +- 6.11, Group II: 11.11 +- 7.19, p = 0.036). There were no significant statistical differences between the two groups (p = 0.744) regarding the preoperative VCSS questionnaire. At 6 months after surgery, the improvement in VCSS and AVVQ was independent of age. Conclusions: The surgical intervention of high ligation and stripping of the saphenous vein is a safe and feasible operation that can be performed in selected cases and is not influenced by the age of the patients.

Mechanochemical Ablation: Current Status in the Management of Varicose Veins: A Comprehensive Review

Varicose veins, a common venous disorder, often lead to significant discomfort and a reduced quality of life. Over the years, numerous treatment approaches have been explored to alleviate the associated symptoms. Surgical interventions such as saphenofemoral junction ligation and Great Saphenous Vein (GSV) stripping were transformative in their time, but the emergence of endovenous techniques like Endovenous Laser Therapy (EVLT) and Radiofrequency Ablation (RFA) marked a significant shift. While these endovenous techniques have shown exceptional clinical outcomes and cost-effectiveness, they do come with the drawback of pain due to the application of heat for ablation and the necessity of infiltrating tumescent anaesthesia around the vein. In recent years, non thermal, non tumescent methods have arisen as effective alternatives that reduce patient discomfort. These methods encompass procedures such as Mechanochemical Ablation (MOCA) and endovenous cyanoacrylate glue, which minimise heat generation and eliminate the need for tumescent anaesthesia. This article provides a comprehensive overview of the current status of MOCA. It covers its mechanism of action, clinical outcomes, cost-effectiveness, and safety profiles in managing varicose veins.

Simulation Modeling of the Process of Accident Risk Realization during Stripping Operations at an Open-Pit Coal Mine

Introduction. The need to increase the level of comprehensive safety, reduce accident and injury rates, minimize the risk of failures, accidents and catastrophes determines the relevance of research on the relationship of elements of the "human–machine–environment" (H–M–E) system during open-pit mining. One of the most effective mechanisms for studying the functional characteristics of the H–M–E system of a coal mine is to conduct simulation modeling in order to identify problematic situations that trigger accidents with catastrophic consequences and injury to personnel. Simulation modeling of a technological process involves constructing a model of a real system and setting up computational experiments to describe the behavior of the system and evaluate various strategies that ensure its functioning. The aim of the research was to adapt simulation modeling technologies to solve the problem of complex safety during open-pit mining. Within the framework of the study, the task was to determine the elements that made the greatest contribution to the implementation of risks in the H–M–E system during stripping operations at a coal mine. The simulated subsystems were "human", "machine", "environment", and "weather conditions". Materials and Methods. Stripping process was considered in the ARIS eEPC (extended Event Driven Process Chain) methodology as a business process linking a set of subprocesses and/or business operations. To build a simulation model in the AnyLogic software environment, the business process of stripping works in ARIS eEPC notation was described by a graph representing a structure consisting of objects and connections between them. This approach allowed us to structure the sequence of events and operations and determine alternative outcomes that arose during stripping operations. Results. As part of the research, a method was developed for translating the formal model of the stripping business process in ARIS eEPC notation into a combined simulation model of AnyLogic. Based on the developed method, a series of machine experiments was carried out. The elements influencing the realization of the risk of accidents in the H–M–E system of a coal mine were determined. Discussion and Conclusion. For the first time in the domestic practice of research of the H–M–E system, simulation modeling technologies have received an application for the analysis of complex safety indicators during open-pit mining. According to the simulation experiment results, it was found that the main influence on the decrease in the reliability of the "machine" subsystem was exerted by the human factor, which, together with the psychophysiological properties of a person, enhanced the development of the domino effect when implementing various types of risks. The presented results and experimental approbation of simulation modeling technology can have advanced use in the analysis of complex technical systems safety, taking into account the influence of human and man-made factors.

Comparison of one-year outcomes and quality of life between endovenous microwave ablation and high ligation and stripping of the great saphenous vein.

The objective of this study is to evaluate and compare the effectiveness of endovenous microwave ablation (EMA) and high ligation and strippingn (HLS) of the great saphenous vein (GSV) in the treatment of varicose veins. We included 182 patients in each EMA and HLS groups. Follow-up outcomes included AVVQ, VCSS, chronic venous insufficiency questionnaire-14 (CIVIQ14) score, clinical recurrence rate of varicose vein treatment, and patient satisfaction during the 1-year follow-up period. At the 1-year follow-up, no significant difference was found in the clinical recurrence rate of varicose veins between the EMA and HLS groups (p = .75). The duration of the operation and the length of hospital stay for patients in the EMA group was shorter than that for the HLS group (p < .01). The Aberdeen Varicose Vein Questionnaire (AVVQ), Venous Clinical Severity Score (VCSS) score, and ecchymosis were lower for patients who underwent EMA surgery (p < .01). Our research results confirm that EMA improves patients' quality of life with lower limb varicose veins, with EMA showing higher patient satisfaction.

Substantiation of the Direction for Mining Operations That Develop under Conditions of Shear Processes Caused by Hydrostatic Pressure

This research is aimed to substantiate the optimally safe direction for mining operations developing in the conditions of shear processes under hydrostatic pressure influence when mining the Zavalivskyi Graphite Deposit. Using a graphical–analytical method, the slope stability index of the Pivdenno–Skhidnyi open-pit walls in the Zavalivskyi deposit and the safe distance for placing mining equipment have been determined. This method involves constructing a calculation scheme for each studied open-pit wall area based on the determined parameters by algebraically adding forces along a curvilinear shear surface, taking into account hydrostatic pressure within a possible collapse prism. During the research, factors have been identified that influence the optimal direction for stripping and mining operations developing under conditions of shear processes caused by flooding of lower horizons at the Zavalivskyi Graphite Plant. It has been revealed that the determining factor when choosing the direction for the development of mining operations is the safety factor of the open-pit working wall, ranging from 0.9 to 2.71 in the studied areas. Moreover, according to current normative documents, this indicator should not be less than 1.3. It has been determined that a promising direction for the development of mining operations in the Pivdenno–Skhidnyi open-pit mine is its south-western, western, and north-eastern areas, with a length of 556 m and a safe size for placing mining equipment of 27.12–32.54 m. Recommendations and measures for conducting mining operations have been developed to ensure the stable condition of the open-pit walls.

Assessment of soil properties in technogenically disturbed lands of Kemerovo Oblast – Kuzbass

Recultivation is a critical operation after mining operations. In Kemerovo Oblast – Kuzbass, Russia, a lot of land has suffered degradation due to stripping operations. The purpose of the study is to examine the technical, technological, and biological properties of lands technogenically disturbed as part of coal mining operations in Kuzbass. The object under study is soil and soil cover in the Talda coal mine at the experimental site and adjacent territories. The research goal is achieved through the following methods. The granulometric composition of soil is assessed using the areometric method. The structural-aggregate analysis is performed based on the distribution of aggregate content by size with a set of soil sieves. Water stability is established using the method of disintegration of soil aggregates under a layer of water up to 2 cm high for 10 minutes. The ecological condition of the soil is assessed based on its enzyme and biological activity. The conducted investigation reveals increased stoniness, hygroscopicity, and low humus content of soils on technogenically disturbed land plots. Technogenically disturbed lands are marked by more acidic and heavy metal-contaminated soils. No exceedances are detected for pesticides and radionuclides. The results demonstrate weak enzymatic (cellulolytic, catalase, dehydrogenase, urease, phosphatase, invertase, and soil respiration) and catalytic activity of the soils. All obtained results of assessment of soil conditions on the experimental site and adjacent territories should be used in planning further experimental work on conducting the biological recultivation phase to minimize random experimental errors associated with the influence of native vegetation cover and primary soil conditions on the survival of crops sown on the site.

Strip running deviation monitoring and feedback real-time in smart factories based on improved YOLOv5

The strip running deviation in steel production can cause significant economic losses by forcing a shutdown of the whole steel production line. However, due to the fast running speed (100–140 m/min) of the strip, it a difficult problem to accurately judge online whether the strip running deviation or not and control its deviation during operation. In this paper, a fast and accurate model for detecting strip running deviation is proposed, this model allows for real-time control of strip operation deviation according to the detection model’s results. In our model, the attention module is used to improve the detection accuracy. The rolling equipment’s pressing force can be real-time controlled to correct the strip running deviation. Compared with the original model, the proposed model in this paper achieves an increase in accuracy of 3 %, and the detection speed can reach 29 FPS, meeting the real-time requirements. This work can provide ideas for applying computer vision in construction of intelligent factories.