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Management of the primary varicose veins with venous ulceration with assistance of endoscopic surgery.
Ann Plast Surg. 2006 Mar; 56(3):289-94.AP

Abstract

Two hundred sixty-two cases of primary varicose veins in which the lesions extended to the areas of the lower third of the leg and/or the ankle were treated with the assistance of endoscopic surgery. The conditions of varicose veins were classified by the reporting standards in venous disease. The number of cases in lesions of C2, C4, C5, and C6 were 60, 156, 31, and 15, respectively. They were also classified into 4 clinicoanatomic types according to varicositic changes in normal veins. The number of cases in types I, II, III, and IV were 57, 88, 42, and 75, respectively. The incidence of skin changes resulting from varicosity were 100%, 90.5%, 53%, and 50% in types I, II, III, and IV, respectively. The incidence of skin changes in this series was 77.6%. About one fourth of the cases having skin changes progressed to C5 and/or C6 lesions. Early and radical treatment of varicose veins could prevent the occurrence of skin changes and subsequently avoid the incidence of C5 and/or C6 lesions. The mean number of incisions in each limb was 2.9. With good illumination and magnified monitor view, the varicose veins and incompetent perforating veins were radically excised, but the normal veins were preserved. Forty-six cases of C5 and C6 lesions were followed up at least 1 year postoperatively. Four cases were lost from follow-up. In all cases except 1, there has been no recurrence. The conditions of skin changes improved subsequently. The recurrent rate of ulceration was 2.4%. In treatment of primary varicose veins with or without ulceration, surgery with assistance of endoscopic surgery achieved a low recurrence of ulcerations and minimal operative scarring.

Authors+Show Affiliations

Division of Plastic and Reconstructive Surgery, Department of Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Taiwan. sidalin@kmu.edu.twNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16508360

Citation

Lin, Sin-Daw, et al. "Management of the Primary Varicose Veins With Venous Ulceration With Assistance of Endoscopic Surgery." Annals of Plastic Surgery, vol. 56, no. 3, 2006, pp. 289-94.
Lin SD, Cheng KH, Lin TM, et al. Management of the primary varicose veins with venous ulceration with assistance of endoscopic surgery. Ann Plast Surg. 2006;56(3):289-94.
Lin, S. D., Cheng, K. H., Lin, T. M., Chang, K. P., Lee, S. S., Sun, I. F., Wang, W. H., & Lai, C. S. (2006). Management of the primary varicose veins with venous ulceration with assistance of endoscopic surgery. Annals of Plastic Surgery, 56(3), 289-94.
Lin SD, et al. Management of the Primary Varicose Veins With Venous Ulceration With Assistance of Endoscopic Surgery. Ann Plast Surg. 2006;56(3):289-94. PubMed PMID: 16508360.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of the primary varicose veins with venous ulceration with assistance of endoscopic surgery. AU - Lin,Sin-Daw, AU - Cheng,Kai-Hung, AU - Lin,Tsai-Ming, AU - Chang,Kao-Ping, AU - Lee,Su-Shin, AU - Sun,I-Feng, AU - Wang,Wen-Her, AU - Lai,Chung-Sheng, PY - 2006/3/2/pubmed PY - 2006/8/2/medline PY - 2006/3/2/entrez SP - 289 EP - 94 JF - Annals of plastic surgery JO - Ann Plast Surg VL - 56 IS - 3 N2 - Two hundred sixty-two cases of primary varicose veins in which the lesions extended to the areas of the lower third of the leg and/or the ankle were treated with the assistance of endoscopic surgery. The conditions of varicose veins were classified by the reporting standards in venous disease. The number of cases in lesions of C2, C4, C5, and C6 were 60, 156, 31, and 15, respectively. They were also classified into 4 clinicoanatomic types according to varicositic changes in normal veins. The number of cases in types I, II, III, and IV were 57, 88, 42, and 75, respectively. The incidence of skin changes resulting from varicosity were 100%, 90.5%, 53%, and 50% in types I, II, III, and IV, respectively. The incidence of skin changes in this series was 77.6%. About one fourth of the cases having skin changes progressed to C5 and/or C6 lesions. Early and radical treatment of varicose veins could prevent the occurrence of skin changes and subsequently avoid the incidence of C5 and/or C6 lesions. The mean number of incisions in each limb was 2.9. With good illumination and magnified monitor view, the varicose veins and incompetent perforating veins were radically excised, but the normal veins were preserved. Forty-six cases of C5 and C6 lesions were followed up at least 1 year postoperatively. Four cases were lost from follow-up. In all cases except 1, there has been no recurrence. The conditions of skin changes improved subsequently. The recurrent rate of ulceration was 2.4%. In treatment of primary varicose veins with or without ulceration, surgery with assistance of endoscopic surgery achieved a low recurrence of ulcerations and minimal operative scarring. SN - 0148-7043 UR - https://www.unboundmedicine.com/medline/citation/16508360/Management_of_the_primary_varicose_veins_with_venous_ulceration_with_assistance_of_endoscopic_surgery_ L2 - https://doi.org/10.1097/01.sap.0000197641.18499.b9 DB - PRIME DP - Unbound Medicine ER -