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Giriş: Endovenöz teknikler yüzeyel venöz yetmezlik tedavisinde tercih edilen ilk yöntem olup safen venin fasianın üzerinde seyrettiği durumlarda kullanımı kısıtlanmaktadır. Bu makalede yüzeyel seyreden safen venlerin cerrahi tedavisinde alternatif cerrahi teknik yöntemi ve bu yönteme ait sonuçlarımız bildirilmektedir. Hastalar ve Yöntem: Çalışmada 1 Ocak 2016-18 Ocak 2018 tarihleri arasında arasında stripper vasıtasıyla segmental safen ven ligasyonu uygulanan hastalar retrospektif olarak incelendi. Hastaların dosyaları incelenerek postoperatif dönemde ekimoz, flebit, cilt yanığı ve safen ven açıklığı değerlendirildi. Bulgular: Bu dönemde 78 hastaya stripper aracılığıyla safen ven ligasyon ameliyatı uygulandı. Hastaların ortalama yaşı 44.8 ± 7.6 olup, %63 (n= 49)’ü kadın idi. Postoperatif dönemde hiçbir hastada cilt komplikasyonuna rastlanmadı. Postoperatif kontrol Doppler ultrasonografide hiçbir hastada safen vende reflü saptanmadı. Sonuç: Safen venin aralıklı ligasyonu yüzeyel safen ven yetmezliğinin cerrahi tedavisinde cilt komplikasyon riskini azaltan bir yöntemdir. Bu yöntem düşük maliyet ve lokal komplikasyon avantajıyla yüzeyel venöz yetmezlik tedavisinde alternatif yöntem olarak uygulanabilir.
Introduction: Endovenous techniques are accepted as the first-line treatment in superficial venous insufficiency. However, the application of these techniques can be restricted in cases where the saphenous vein is located superior to the fascia and close to the dermis. In this paper, we present the outcomes of alternative surgical techniques applied for superficial venous insufficiency. Patients and Methods: A total of 78 patients undergoing ligation and division of the saphenous vein between January 1, 2016 and January 18, 2018 were included. Postoperative saphenous vein flow and complications such as ecchymosis, phlebitis, and burns were retrospectively evaluated. Results: The average age was 44.8 ± 7.6 years, and 63% of the patients were women. In the postoperative period, there were no skin complications, except for three short-period paresthesia cases (3.8%) and two minimal ecchymosis cases. Furthermore, according to the postoperative Doppler ultrasonographic examinations, no saphenous vein reflux was detected in any patient. Conclusion: Ligation and division of the saphenous vein decreases the rates of postoperative skin complications in patients with superficial venous insufficiency. This technique can be kept in mind as an alternative surgical method because it has low skin complication rates and is cost effective.
Introduction: Endovenous techniques are accepted as the first-line treatment in superficial venous insufficiency. However, the application of these techniques can be restricted in cases where the saphenous vein is located superior to the fascia and close to the dermis. In this paper, we present the outcomes of alternative surgical techniques applied for superficial venous insufficiency. Patients and Methods: A total of 78 patients undergoing ligation and division of the saphenous vein between January 1, 2016 and January 18, 2018 were included. Postoperative saphenous vein flow and complications such as ecchymosis, phlebitis, and burns were retrospectively evaluated. Results: The mean age was 44.8 ± 7.6 years, and 63% (n= 49) of the patients were women. In the postoperative period, there were no skin complications, except for three short-period paresthesia cases (3.8%) and two minimal ecchymosis cases. Furthermore, according to the postoperative Doppler ultrasonographic examinations, no saphenous vein reflux was detected in any patient. Conclusion: Ligation and division of the saphenous vein decreases the rates of postoperative skin complications in patients with superficial venous insufficiency. This technique can be kept in mind as an alternative surgical method because it has low skin complication rates and is cost effective.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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