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ISRN Vascular Medicine
Volume 2011 (2011), Article ID 372450, 2 pages
http://dx.doi.org/10.5402/2011/372450
Clinical Study

Great Saphenous Vein Conventional Surgery in Brazil's Outpatients

Peripheral Vascular Surgery, Medical Science College, Campinas State University (UNICAMP), 13083-852 Campians, SP, Brazil

Received 9 August 2011; Accepted 27 September 2011

Academic Editors: B. Hambly and A. Shaish

Copyright © 2011 Charles Angotti Furtado de Medeiros and Ana Terezinha Guillaumon. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Evaluate great saphenous vein conventional surgery performed on an outpatient basis. Methods. Retrospective analysis where patients complain varicose veins with saphenofemoral incompetence and great saphenous vein reflux on Doppler ultrasound. These patients were consecutively enrolled to high ligation plus stripping, either to the ankle or only to the knee, or crossectomy alone. Results. Data from 106 surgery outpatients with CEAP clinical classification is as follows: varicose veins (59.5%), edema (15.1%), skin alterations (9.4%), healed ulcer (9.4%), or open ulcer (6.6%). The techniques employed were 66 high ligations plus stripping to the ankle, 28 high ligations plus stripping to the thigh portion, and 12 crossectomy. No major complications were observed. Overall, 18% reported symptoms consistent with saphenous nerve injury. All but one belonged to the stripping to the ankle group. Conclusion. Great saphenous vein conventional surgery performed on outpatients is very safe. Nerve injury is frequent when stripping extends the ankle.