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Article: Changes in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency

TitleChanges in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency
Authors
Issue Date2001
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/
Citation
World Journal Of Surgery, 2001, v. 25 n. 2, p. 122-125 How to Cite?
AbstractThe purpose of this study was to determine the hemodynamic changes after superficial vein surgery in patients with mixed superficial and deep venous insufficiency (MVI). Between July 1996 and June 1998, all patients with MVI together with saphenofemoral reflux were evaluated prospectively with air plethysmography (APG) and duplex scanning before and 1 month after superficial vein surgery. Saphenofemoral flush ligation without stripping was performed with multiple small incisions for avulsion of varicosities. Seventy-eight patients with 102 operated limbs were included for analysis. The venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) improved significantly after superficial vein surgery (mean VFI 5.99 ± 3.39 vs. 1.82 ± 1.21 ml/s, p < 0.001; mean EF 48.39% ± 11.74% vs. 52.78% ± 14.33%, p < 0.05; mean RVF 49.80% ± 11.18% vs. 36.19% ± 12.98%, p < 0.001, respectively, before and after operation). The proportion of limbs with deep venous incompetence on duplex scanning at more than one site decreased from 70% to 44% after operation. The mean number of sites with deep venous incompetence decreased from 2.14 ± 0.96 to 1.52 ± 1.21 after operation (p < 0.001). In conclusion, superficial vein surgery resulted in significant improvement in hemodynamic parameters in limbs with MVI. There was also abolition of deep venous reflux after superficial vein surgery alone. Superficial vein surgery should be the first line of treatment in limbs with MVI, with deep vein reconstructive surgery reserved for those not responding to superficial vein surgery.
Persistent Identifierhttp://hdl.handle.net/10722/84447
ISSN
2015 Impact Factor: 2.523
2015 SCImago Journal Rankings: 1.375
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorWuRVT, LLHen_HK
dc.contributor.authorCheungBSc, GCYen_HK
dc.date.accessioned2010-09-06T08:53:04Z-
dc.date.available2010-09-06T08:53:04Z-
dc.date.issued2001en_HK
dc.identifier.citationWorld Journal Of Surgery, 2001, v. 25 n. 2, p. 122-125en_HK
dc.identifier.issn0364-2313en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84447-
dc.description.abstractThe purpose of this study was to determine the hemodynamic changes after superficial vein surgery in patients with mixed superficial and deep venous insufficiency (MVI). Between July 1996 and June 1998, all patients with MVI together with saphenofemoral reflux were evaluated prospectively with air plethysmography (APG) and duplex scanning before and 1 month after superficial vein surgery. Saphenofemoral flush ligation without stripping was performed with multiple small incisions for avulsion of varicosities. Seventy-eight patients with 102 operated limbs were included for analysis. The venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) improved significantly after superficial vein surgery (mean VFI 5.99 ± 3.39 vs. 1.82 ± 1.21 ml/s, p < 0.001; mean EF 48.39% ± 11.74% vs. 52.78% ± 14.33%, p < 0.05; mean RVF 49.80% ± 11.18% vs. 36.19% ± 12.98%, p < 0.001, respectively, before and after operation). The proportion of limbs with deep venous incompetence on duplex scanning at more than one site decreased from 70% to 44% after operation. The mean number of sites with deep venous incompetence decreased from 2.14 ± 0.96 to 1.52 ± 1.21 after operation (p < 0.001). In conclusion, superficial vein surgery resulted in significant improvement in hemodynamic parameters in limbs with MVI. There was also abolition of deep venous reflux after superficial vein surgery alone. Superficial vein surgery should be the first line of treatment in limbs with MVI, with deep vein reconstructive surgery reserved for those not responding to superficial vein surgery.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/en_HK
dc.relation.ispartofWorld Journal of Surgeryen_HK
dc.titleChanges in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiencyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0364-2313&volume=25&spage=122&epage=125&date=2001&atitle=Changes+in+venous+hemodynamics+after+superficial+vein+surgery+for+mixed+superficial+and+deep+venous+insufficiencyen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s002680020051en_HK
dc.identifier.pmid11338009-
dc.identifier.scopuseid_2-s2.0-0035045692en_HK
dc.identifier.hkuros58864en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035045692&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume25en_HK
dc.identifier.issue2en_HK
dc.identifier.spage122en_HK
dc.identifier.epage125en_HK
dc.identifier.isiWOS:000168131500002-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridWuRVT, LLH=15851784000en_HK
dc.identifier.scopusauthoridCheungBSc, GCY=15850020600en_HK

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