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Clinical experience treating varicose veins in the aged
H Gutman1, A Zelikovski, M Haddad
1Vascular Unit, Beilinson Medical Center, Petah Tiqva, Israel.
The American Surgeon
|October 1, 1989
Summary
Elderly patients with varicose veins often cannot use standard treatments. Modified procedures like Trendelenburg, sclerotherapy, and pneumatic compression offer effective solutions for this high-risk group.
Area of Science:
- Vascular Surgery
- Geriatric Medicine
Background:
- Varicose veins and venous insufficiency affect a significant portion of elderly patients.
- Traditional conservative treatments are often not feasible for individuals over 70 due to physical limitations.
Purpose of the Study:
- To investigate alternative and modified treatment strategies for elderly patients (over 70) with varicose veins and venous insufficiency.
- To address the challenges posed by the inapplicability of standard conservative treatments in this demographic.
Main Methods:
- An isolated Trendelenburg procedure under local anesthesia, combined with sclerotherapy and/or transfixion sutures, was performed as an outpatient procedure.
- For stasis ulceration, treatment involved sequential intermittent pneumatic compression, local hyperbaric oxygen, and patient education on elastic support, conducted as an inpatient procedure.
Main Results:
- Both the modified Trendelenburg procedure and the inpatient treatment for stasis ulceration demonstrated successful outcomes.
- These alternative approaches provided acceptable solutions for managing chronic venous conditions in older adults.
Conclusions:
- Modified surgical and non-surgical interventions are effective for treating varicose veins and venous insufficiency in elderly patients.
- These adapted treatment modalities offer viable and successful alternatives for a high-risk patient population, improving chronic venous problem management.