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Review
. 2007 Mar;89(2):96-100.
doi: 10.1308/003588407X168271.

The treatment of varicose veins

S Subramonia  1 , T A Lees
Affiliations
Review

The treatment of varicose veins

S Subramonia et al. Ann R Coll Surg Engl. 2007 Mar.

Abstract

Introduction: Over the past few years, there has been a move to less invasive endoluminal methods in the treatment of lower limb varicose veins combined with a renewed interest in sclerotherapy, with the recent addition of foam sclerotherapy. The development of these new techniques has led many to question some of the more conventional teaching on the treatment of varicose veins. This review examines these new treatments for lower limb varicose veins and the current evidence for their use.

Materials and methods: An extensive search of available electronic and paper-based databases was performed to identify studies relevant to the treatment of varicose veins with particular emphasis on those published within the last 10 years. These were analysed by both reviewers independently.

Results: There is no single method of treatment appropriate for all cases. Conventional surgery is safe and effective and is still widely practised. Whilst the new treatments may be popular with both surgeons and patients, it is important that they are carefully evaluated not only for their clinical benefits and complications when compared to existing treatments but also for their cost prior to their wider acceptance into clinical practice.

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References

    1. Dwerryhouse S, Davies B, Harradine K, Earnshaw JJ. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial. J Vasc Surg. 1999;29:589–92. - PubMed
    1. Winterborn RJ, Foy C, Earnshaw JJ. Causes of varicose vein recurrence: late results of a randomized controlled trial of stripping the long saphenous vein. J Vasc Surg. 2004;40:634–9. - PubMed
    1. Mackenzie RK, Lee AJ, Paisley A, Burns P, Allan PL, Ruckley CV, et al. Patient, operative, and surgeon factors that influence the effect of superficial venous surgery on disease-specific quality of life. J Vasc Surg. 2002;36:896–902. - PubMed
    1. Subramonia S, Lees TA. Sensory abnormalities and bruising after long saphenous vein stripping: impact on short-term quality of life. J Vasc Surg. 2005;42:510–4. - PubMed
    1. Campbell WB, Vijay KA, Collin TW, Allington KL, Michaels JA. The outcome of varicose vein surgery at 10 years: clinical findings, symptoms and patient satisfaction. Ann R Coll Surg Engl. 2003;85:52–7. - PMC - PubMed