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Limited versus total stripping of vena saphena magna
12nd Department of Surgery, Teaching Hospital of Palackiensis University, Olomouc, Czech Republic. hermanj@post.cz
Background:
There are two different ways to operate on patients with varicose veins.
Objectives:
Prospective evaluation of two groups of patients operated on in two different ways to find out more convenient procedure for varicose veins surgery.
Methods:
The results of 577 patients operated on for lower limbs varicose veins were evaluated. The patients were divided into two groups. The first group comprised of 125 patients in whom limited stripping of vena saphena magna was performed. The second group comprised of 397 patients in whom total stripping of vena saphena magna was applied. In the remaining 55 patients an operation other than VSM was performed in the venous system of lower limbs. During the follow-up three months after the operation the main attention was paid to a possible neurological disturbance.
Results:
Much better results were observed in the group of patients treated with the method of limited stripping. Neurological disturbances occurred in two patients only (i.e. 1.6%). Within the other group disturbances were encountered in 28 patients (i.e. 7%).
Conclusions:
Limited stripping of vena saphena magna results in lower number of neurological disturbances. (Tab. 1, Ref. 10.).