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Late follow-up of a...
Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery
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- Blomgren, Lena, 1957- (författare)
- Karolinska Institutet
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- Johansson, G. (författare)
- Department of Surgery Capio St Göran's Hospital, Stockholm, Sweden
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- Emanuelsson, L. (författare)
- Department of Surgery Capio St Göran's Hospital, Stockholm, Sweden
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- Dahlberg-Akerman, A. (författare)
- Department of Clinical Physiology, Capio St Göran's Hospital, Stockholm, Sweden
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- Thermaenius, P. (författare)
- Department of Clinical Physiology, 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)
- 2011-05-27
- 2011
- Engelska.
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Ingår i: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 98:8, s. 1112-1116
- 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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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Routine preoperative duplex examination led to an improvement in results 2 years after surgery for primary varicose veins. The aim of the present study was to evaluate the impact of preoperative duplex imaging after 7 years, in relation to other risk factors for varicose vein recurrence. Methods: Patients with primary varicose veins were randomized to operation with (group 1), or without (group 2) preoperative duplex imaging. The same patients were invited to attend follow-up with interview, clinical examination and duplex imaging. Quality of life (QoL) was measured with the Short Form 36 questionnaire. Results: Some 293 patients (343 legs) were included initially; after 7 years 227 were interviewed, or their records reviewed: 114 in group 1 and 113 in group 2. One hundred and ninety-four legs (95 in group 1 and 99 in group 2) were examined clinically and with duplex imaging. Incompetence was seen at the saphenofemoral junction and/or saphenopopliteal junction in 14 per cent of legs in group 1 and 46 per cent in group 2 (P < 0.001). QoL was similar in both groups. After a mean follow-up of 7 years (and including patients who underwent surgery after the review), 15 legs in group 1 needed reoperation and 38 in group 2 (P = 0.001). Conclusion: Routine preoperative duplex imaging improved the results of surgery for primary varicose veins for at least 7 years.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Surgery
- Kirurgi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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