Comparison of staged versus one shot varicose veins treatment: Depending on tributaries diameter.

Phlebology Pub Date : 2024-08-08 DOI:10.1177/02683555241272969

Larisa Chernukha, Olexandr Voloshyn, Olexandr Suzdalenko, Viktor Gubka, Serhii Machuskui, Viktor Pavlychenko

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Abstract

Background: One of the most debatable phlebology community's issue is the choice of the optimal tactics for endovenous varicose tributaries correction after truncal ablation. Which tactic will be most effective? There is practically no data concerning treatment tactics' choice for varicose tributary depending on its diameter. Therefore, the comparison of staged versus one-stage treatment of varicose veins is relevant problem in modern phlebology. Research on this topic will make possible determination of advantages and potential disadvantages of the proposed tactics.

Methods: The study included a prospective analysis of the combined treatment of 295 patients with primary varicose veins who underwent outpatient treatment.

Results: Simultaneous EVLA of saphenous trunks and ligation (gentle phlebectomy) of visible large-diameter tributaries (6 mm or more) with staged sclerotherapy after a month, has significant potential benefits.

Conclusion: The use of staged varicose veins treatment minimizes the traumatic intervention and discomfort for the patient, while achieving satisfactory treatment results without affecting the quality of life.

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静脉曲张分期治疗与一次治疗的比较：取决于支流直径。

背景：静脉学界最有争议的问题之一，就是选择最佳策略，在截肢消融术后进行静脉内曲张支流矫正。哪种方法最有效？目前几乎没有关于根据曲张支流直径选择治疗策略的数据。因此，静脉曲张分期治疗和一期治疗的比较是现代静脉学的相关问题。对这一课题的研究将有助于确定所建议疗法的优点和潜在缺点：研究对 295 名接受门诊治疗的原发性静脉曲张患者的综合治疗进行了前瞻性分析：结果：同时进行隐静脉主干EVLA和可见大直径支流（6毫米或以上）结扎（轻柔静脉切除术），并在一个月后进行分阶段硬化疗法，具有显著的潜在疗效：结论：分阶段治疗静脉曲张可最大限度地减少创伤性干预和患者的不适感，同时在不影响生活质量的情况下获得满意的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Phlebology

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