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Fate of varicose veins after great saphenous vein stripping alone

T Nishibe1, Y Kondo, A Dardik

  • 1Department of Surgery, Eniwa Midorino Clinic, Eniwa, Japan. toshiyanishibe@yahoo.co.jp

International Angiology : a Journal of the International Union of Angiology
|August 4, 2009
PubMed

Insights

Great saphenous vein (GSV) stripping alone shows significant spontaneous varicose vein regression for over three years. This suggests delaying or avoiding further varicectomy in many patients.

Area of Science:

  • Vascular Surgery
  • Phlebology
  • Clinical Outcomes Research

Background:

  • Varicose veins are a common vascular condition.
  • Great saphenous vein (GSV) stripping is a standard treatment.
  • Long-term spontaneous regression of varicose veins post-GSV stripping is not well-documented.

Purpose of the Study:

  • To prospectively evaluate clinical outcomes after GSV stripping alone.
  • To determine if spontaneous varicose vein regression continues beyond three years.
  • To assess the necessity of further treatment like varicectomy.

Main Methods:

  • Prospective study of 39 patients (55 limbs) undergoing GSV stripping.
  • Follow-up assessment for clinical sequelae and spontaneous regression.
  • Data collection on recurrence rates for GSV stripping alone versus combined with sclerotherapy.

Main Results:

  • 91% of limbs showed spontaneous varicose vein resolution within 4-6 weeks.
  • Only 5% of limbs required subsequent sclerotherapy.
  • After >3 years, 89% completed follow-up; recurrence was 9% for GSV stripping alone.

Conclusions:

  • Spontaneous varicose vein resolution can persist for over three years post-GSV stripping.
  • Varicectomy may be deferred or avoided in numerous cases.
  • GSV stripping alone demonstrates favorable long-term outcomes with low recurrence.
Abstract

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