Author/Editor     Gasparini, Mladen
Title     Pozni rezulati zdravljenja primarne povrhnje venske insuficience s stripingom vene safane magne
Translated title     Late results of treatment of primary suprafacial venous insufficiency by stripping of the saphenous vein
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 39, št. Suppl 2
Publication year     2000
Volume     str. 167-71
Language     slo
Abstract     65 patients (of 87 invited) who underwent ankle-to-groin stripping surgery between January 1994 and December 1995 responded to our invitation to answer a questionnaire and attend a medical visit in January 2000. 66.2% of them were women and 33.8% men. Among the risk factors for CVI, the occupational (83%) and familial (79%) were the most common. The most frequent complaint before surgery was tiredness of the leg (66%) and calf muscle cramps (62%). 94% of the patients were satisfied with the outcome of surgery, although about 14% had significant hematoma or wound infection. Chronic crural edema on the operated leg, diagnosed on the basis of calf circumference measurement, was found in more than half (52%) of the patients. The cosmetic result was assessed as good or very good in 95% of cases. Significant varicose vein reappearance requiring surgical correction was found in 9.2% of patients and saphenous nerve lesion in 33.8% of patients who had undergone surgery.
Summary     65 bolnikov (od 87 povabljenih), ki so bili operirani (popolni striping) med januarjem 1994 in decembrom 1995, se je odzvalo povabilu ter izpolnilo vprašalnik in se zglasilo na kontrolni pregled v januarju 2000. Med njimi je bilo 66,2% žensk in 33,8% moških. Najpogostejši dejavniki tveganja za razvoj kronične venske insuficience so bili vezani na delovno mesto (83%) in družinsko obremenjenost (79%). Pred operacijo so bolniki imeli predvsem težave zaradi utrujenosti nog (66%) in krčev v mišicah goleni (62%). 94% jih je ocenilo, da so z operacijo zadovoljni ali zelo zadovoljni, pri 14% pa so se po operaciji pojavili zapleti, kot so vnetje rane in obsežnejše podplutbe. Po meritvi obsegov goleni smo pri več kot polovici (52%) bolnikov ugotovili kronično golensko oteklino na operirani nogi. Kozmetični učinek smo ocenili kot dober in zelo dober pri 95% bolnikov. Pri 9,2% so se ponovile krčne žile, ki so zahtevale kirurško zdravljenje.Poškodbo safenega živca smo ugotovili pri 33,8% bolnikov.
Descriptors     VENOUS INSUFFICIENCY
SAPHENOUS VEIN
RECURRENCE
VARICOSE VEINS
SEX FACTORS
AGE FACTORS
TREATMENT OUTCOME
RISK FACTORS
POSTOPERATIVE COMPLICATIONS
EDEMA