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

IF 0.8 Q4 SURGERY Chirurgia Pub Date : 2024-10-01 DOI:10.21614/chirurgia.3048
Mihaela Pundiche, Nicoleta Leopa, Dragos Bajan, Iulia Cindea, Diana Iosif, Anca Chisoi, Răzvan Cătălin Popescu
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Abstract

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.

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年龄对下肢静脉功能不全高位结扎和剥脱术后疗效的影响:队列研究
背景:静脉曲张是一种经常需要手术治疗的病理现象。大隐静脉高位结扎和剥脱术在某些病例中仍是可行的手术治疗方法。本研究旨在确定年龄是大隐静脉高位结扎和剥脱术后的预后因素。材料与方法:前瞻性分析了 2016 年至 2023 年期间收治的实施高位结扎和剥脱术的静脉曲张患者病例。167例患者符合纳入和排除标准,分为两组:第一组为 114 名 60 岁以下的患者,第二组为 53 名 60 岁以上的患者。分别在术后 1 个月和 6 个月对患者进行随访,并使用多种问卷收集数据:数据收集使用了几种问卷:CEAP、VAS、VCSS 和 AVVQ。结果:根据 CEAP 分级,无论年龄大小,第 4 级最常见(第一组:49.12%,第二组:49.06%),其次是第 2 级(第一组:41.22%,第二组:35.85%)。术前,两组在 VAS(P = 0.041)和 AVVQ(第一组:12.51 +- 6.11,第二组:11.11 +- 7.19,P = 0.036)方面存在显著统计学差异。两组在术前 VCSS 问卷调查方面无明显统计学差异(p = 0.744)。术后 6 个月,VCSS 和 AVVQ 的改善与年龄无关。结论大隐静脉高位结扎和剥脱手术是一种安全可行的手术,可在选定的病例中实施,且不受患者年龄的影响。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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