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Updated: Jul 28, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
[Varicose vein operation under inpatient conditions]
1William Harvey Klinik, Bad Nauheim.
Insights
Shifting varicose vein surgeries to outpatient care reduces inpatient numbers but increases the complexity of remaining cases. Careful patient selection is key for effective healthcare cost reduction strategies.
Area of Science:
- Vascular Surgery
- Health Economics
Context:
- Healthcare cost-containment strategies increasingly favor outpatient procedures.
- Varicose vein surgery has seen a significant shift from inpatient to outpatient settings.
Purpose:
- To retrospectively review inpatient admission criteria for varicose vein surgery patients.
- To assess the impact of outpatient transition on patient case complexity.
Summary:
- A review of 146 varicose vein surgery patients found that nearly 70% met criteria for inpatient admission, while over 30% were suitable for outpatient management.
- This selective approach reduced overall inpatient numbers.
Impact:
- Outpatient conversion effectively lowers inpatient volume.
- A relative increase in complex cases requiring more intensive management was observed among inpatients.
Abstract:
The change of surgical operations from inpatient to outpatient conditions as a method of lowering costs in health care has lead to a significant rise in the number of outpatient operations, especially in varicose vein surgery. Hospitalisation is still required in special cases. The criteria of 146 patients with varicose veins for admittance to inpatient treatment were retrospectively reviewed. The clinical findings, the designated operation and the specific personal factors were assessed. We found in just under 70% of the patients the indication for hospital admittance whereas in slightly over 30% the outpatient management was ascertained. Through this selection the total number of inpatients could be reduced, leading on the other hand to a relative increase in the number of difficult cases with more severe conditions requiring more complex management.
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