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126149

Conservative Hemodynamic Surgery in the Management of Primary Varicosities of the Long Saphenous Vein: Emerging Experience in Suez Canal University Hospital

Article

Last updated: 22 Jan 2023

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Tags

Clinical Research (Surgical)

Abstract

Background: Contrary to traditional long saphenous vein (LSV) surgeries, stripping and endovenous laser ablation, using heat coagulation, ambulatory conservative hemodynamic correction of venous insufficiency (CHIVA) is LSV sparing technique. Aim: Based on the lack of studies discussing success and recurrence rate, this study was designed to assess the immediate and one-year follow-up of this technique, as well as its efficacy and safety. Patients and Methods: Thirty-three patients with primary LSV varicosities were included in this uncontrolled clinical trial. Patients with LSV diameter of ≥ 9.5mm or pregnancy were excluded. Results: The mean age of our patients was 33.36±8.865 years, and 54.5% of them were males. According to Hobb's score, 25 patients (75.7%) were completely cured, 6 patients (18.1%) were improved, while 2 patients (6.2%) were considered as failure. Most (87.9%) of the patients showed absent or no visible recurrence. The rest showed visible recurrence by duplex ultrasound. All patients had significant improvement of their symptoms (no pain, or edema) at the immediate follow-up after operation. No complication including hematomas, ecchymosis, hemorrhage, saphenous nerve neuralgia, phlebitis, infection, deep or LSV thrombosis was detected. Conclusion: CHIVA is a successful and effective option in managing patients with primary long Saphenous varicosities, with minimal recurrence rate, after one-year of follow-up.
 

DOI

10.21608/scumj.2020.126149

Keywords

CHIVA, Recurrence, varicose veins

Authors

First Name

Mohamed

Last Name

El Yamany

MiddleName

M.

Affiliation

Department of Surgery, Vascular and Endovascular Unit, Suez Canal University Hospital, Ismailia, Egypt

Email

mohamed_alyamany@med.suez.edu.eg

City

-

Orcid

-

First Name

Shaimaa

Last Name

Mubarak

MiddleName

A.

Affiliation

Department of Surgery, Vascular and Endovascular Unit, Suez Canal University Hospital, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Mamdouh

Last Name

Almezaien

MiddleName

M.

Affiliation

Department of Surgery, Vascular and Endovascular Unit, Suez Canal University Hospital, Ismailia, Egypt

Email

mamdouh.almezaien@med.suez.edu.eg

City

-

Orcid

-

First Name

Hatem

Last Name

Mohamed

MiddleName

H.

Affiliation

Department of Surgery, Vascular and Endovascular Unit, Suez Canal University Hospital, Ismailia, Egypt

Email

-

City

-

Orcid

-

Volume

23

Article Issue

2

Related Issue

18442

Issue Date

2020-10-01

Receive Date

2020-11-29

Publish Date

2020-10-01

Page Start

156

Page End

164

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 23_Issue 2_Pages 156-164.pdf

PDF . 452.1kB

Link

https://scumj.journals.ekb.eg/article_126149.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=126149

Order

6

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

-

Details

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Article

Created At

22 Jan 2023