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High crossectomy without vascular sectioning vs classic saphenectomy. Randomized clinical trial: Analysis of recurrent varicose [Crosectomía alta sin sección vascular frente a safenectomía clásica. Ensayo clínico aleatorizado: Análisis de la recidiva varicose]

dc.contributor.authorDíaz I.C.
dc.contributor.authorVelilla T.A.
dc.contributor.authorRodríguez M.I.
dc.contributor.authorMartín Martín J.M.
dc.date.accessioned2020-09-02T22:16:49Z
dc.date.available2020-09-02T22:16:49Z
dc.date.issued2013
dc.identifier10.4321/s1137-66272013000300007
dc.identifier.citation36, 3, 419-427
dc.identifier.issn11376627
dc.identifier.urihttps://hdl.handle.net/20.500.12728/4346
dc.descriptionBackground. This study was designed with the purpose of defining a new surgical procedure for varicose veins surgery and to be compared with classic crossectomy in terms of reducing varicose recurrence rate. Material and methods. Double-blind randomized clinical trial. For easy access, we selected 150 patients who came to Phlebology Unit Consultation, meeting the criteria for inclusion in the study with their informed consent, to be included in a study group using random table numbers table numbers. Group 1: (CS) Saphenectomy classic 75 patients. Group 2: (HCWVS) High crossectomy without vascular sectioning. In both groups the monitoring was conducted at 12 and 24 months by Eco-Doppler study. Results. The incidence of varicose recurrence at 12 months follow up was 69.3% in the group of patients undergoing CS, while in the group receiving HCWVS was 29.3% (p <0.0001). These differences, though minor, remain statistically significant at 24 months of evolution (76% vs. 48%, p = 0.0004). The most common type of recurrence is the type I with statistically significant differences at 12 and 24 months. Conclusions. High crossectomy without vascular section has a global recurrence probability significantly lower than with classic saphenectomy at 12 months (29.3% vs. 69.3%), which remains, though smaller, statistically significant at two years of evolution (48% vs. 76%). The recurrence reticular type rate is significantly lower in the group of patients undergoing high crossectomy without vascular section compared to those undergoing saphenectomy with classic crossectomy.
dc.language.isoen
dc.language.isoes
dc.publisherGobierno de Navarra
dc.subjectChronic venous disease
dc.subjectNeovascularization
dc.subjectRecurrent varicose after surgery (REVAS)
dc.subjectSaphenectomy
dc.subjectVaricose veins
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectcatheterization
dc.subjectcontrolled study
dc.subjectcrossectomy
dc.subjectDoppler echography
dc.subjectdouble blind procedure
dc.subjectfemale
dc.subjecthuman
dc.subjectintermethod comparison
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmorbidity
dc.subjectpain
dc.subjectphlebology
dc.subjectpostoperative complication
dc.subjectrandomized controlled trial
dc.subjectrecurrent disease
dc.subjectsaphenectomy
dc.subjectsurgical technique
dc.subjectvaricosis
dc.subjectcomparative study
dc.subjectmiddle aged
dc.subjectprocedures
dc.subjectsaphenous vein
dc.subjectVaricose Veins
dc.subjectvascular surgery
dc.subjectDouble-Blind Method
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRecurrence
dc.subjectSaphenous Vein
dc.subjectVaricose Veins
dc.subjectVascular Surgical Procedures
dc.titleHigh crossectomy without vascular sectioning vs classic saphenectomy. Randomized clinical trial: Analysis of recurrent varicose [Crosectomía alta sin sección vascular frente a safenectomía clásica. Ensayo clínico aleatorizado: Análisis de la recidiva varicose]
dc.typeArticle


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