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Randomized clinical...
Randomized clinical trial of routine preoperative duplex imaging before varicose vein surgery
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- Blomgren, Lena, 1957- (författare)
- Karolinska Institutet,Uppsala universitet,Kärlkirurgi,Department of Surgery, Capio St Göran's Hospital, Stockholm, Sweden
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- Johansson, Gunnar (författare)
- Department of Surgery, Capio St. Göran's Hospital, Stockholm, Sweden
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- Bergqvist, David (författare)
- Uppsala universitet,Kärlkirurgi,Department of Surgery, University Hospital, Uppsala, Sweden
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(creator_code:org_t)
- 2005-04-04
- 2005
- Engelska.
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Ingår i: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 92:6, s. 688-694
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND:Duplex imaging is used increasingly for preoperative evaluation of varicose veins, but its value in terms of the long-term results of surgery is not clear.METHODS:Patients with primary varicose veins were randomized to operation with or without preoperative duplex imaging. Reoperation rates, clinical and duplex findings were compared at 2 months and 2 years after surgery.RESULTS:Two hundred and ninety-three patients (343 legs) had varicose vein surgery after duplex imaging (group 1; 166 legs) or no imaging (group 2; 177 legs). In 44 legs (26.5 per cent), duplex examination suggested a different surgical procedure than had been considered on clinical grounds; the procedure was changed accordingly for 29 legs. At 2 months, incompetence was detected at the saphenofemoral or saphenopopliteal junction (or both) in 14 legs (8.8 per cent) in group 1 and in 44 legs (26.5 per cent) in group 2 (P < 0.001). At 2 years, two legs (1.4 per cent) had undergone or were awaiting reoperation in group 1, and 14 legs (9.5 per cent) in group 2 (P = 0.002). In the remainder, major incompetence was found in 19 legs (15.0 per cent) in group 1 and in 53 (41.1 per cent) in group 2 (P < 0.001).CONCLUSION:Routine preoperative duplex examination led to an improvement in results 2 years after surgery for patients with primary varicose veins.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Adult
- Aged
- Comparative Study
- Female
- Humans
- Male
- Middle Aged
- Preoperative Care/methods
- Prospective Studies
- Reoperation
- Research Support; Non-U.S. Gov't
- Ultrasonography; Doppler; Duplex/methods
- Varicose Veins/physiopathology/*surgery/*ultrasonography
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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