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1.
  • Eklof, Bo G., et al. (författare)
  • Revised CEAP classification for chronic verrous disorders
  • 2005
  • Ingår i: Phlebologie. - 0939-978X. ; 34:4, s. 220-225
  • Tidskriftsartikel (refereegranskat)abstract
    • The CEAP classification for chronic venous disorders (CVD) was developed in 1994 by an international ad hoc committee of the American Venous Forum, endorsed by the Society for Vascular Surgery, and incorporated into "Reporting Standards in Venous Disease" in 1995. Today most published clinical papers use all or portions of CEAP. Rather than have it stand as a static classification system, an ad hoc committee of the American Venous Forum, working with an international liaison committee, has recommended a number of practical changes, detailed in this consensus report. These include refinement of several definitions used in describing CVD; refinement of the C classes of CEAP, addition of the descriptor n (no venous abnormality identified); elaboration of the date of classification and level of investigation; and as a simpler alternative to the full (advanced) CEAP classification, introduction of a basic CEAP version. It is important to stress that CEAP is a descriptive classification, whereas venous severity scoring and quality of life scores are instruments for longitudinal research to assess outcomes.
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3.
  • Nelzén, Olle (författare)
  • A medial approach for open redo groin surgery for varicose vein recurrence Safe and effective
  • 2013
  • Ingår i: Phlebologie (Stuttgart). - : Georg Thieme Verlag KG. - 0939-978X .- 2567-5826. ; 42:5, s. 247-252
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims: To describe the technique of a medial approach for redo groin surgery for varicose vein recurrence and to report the one year prospective results for this procedure. Method: The standardised technique employed is described. Prospective one year data regarding the effectiveness of this procedure was taken from a one year audit performed 2009-2010 at Skaraborg Hospital. Details regarding this patient cohort and the surgery performed were registered. The outcome was measured by using venous clinical severity score (VCSS) and the disease specific quality of life was measured with the Aberdeen varicose vein questionnaire (AVVQ). Venous duplex ultrasound scanning (DUS) was performed preoperatively, after 4-6 weeks and after one year. Results: Out of 255 venous operations 34 regarded redo groin surgery and these were assessed. Females dominated 25/34 and the median age was 55 years (range 26-80). All patients had a probable stump according to DUS. CEAP C3-C4 dominated 28 patients/legs and C5-C6 in 4 legs. The median operating time was 69 minutes (range 35-120) and the operating time was significantly correlated to the number of incisions (p<0.001). The complication rate was 15%, including 2 wound infections but no DVT or lymph leakage. Both the VCSS and the AVVQ scores were significantly improved after one year (p<0.001). After one year DUS detected recurrence in the groin was observed in 19%, mostly neovascularisation. Conclusion: Redo groin surgery by a standardised medial approach is a safe and not an especially technically demanding technique that can be performed reasonably rapidly. The one year results are promising and the early DUS recurrence rate seems low.
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