Conventional stripping combined with transilluminated powered phlebectomy for lower extremity varicose vein:An analysis of 3170 cases

doi:10.7504/CJPS.ISSN1005-2208.2014.12.20

Abstract：Objective To summarize operation key points and medium and long-term follow-up results of conventional stripping combined with transilluminated powered phlebectomy for lower extremity varicose vein. Methods The clinical data of 3170 cases (4675 limbs) treated by conventional stripping with transilluminated powered phlebectomy (TIPP)from February 1, 2005 to July 31, 2013 were analyzed retrospectively.The patients were followed up to observe postoperative recovery condition,postoperative complications and postoperative recurrence rate. Results Great saphenous vein trunks was stripped away by conventional stripping technique in all patients and all superficial varicose vein labeled before operation were resected with TIPP. Perforating veins and varicose veins mass in the calf and thigh were divided and ligated respectively according to the labels marked before operation. Surgical time was(62±14)min in unilateral lower extremity and(97±22)min in bilateral lower extremities. The average hospitalization days was(5.1±1.6) d. Two patients died in perioperative period and perioperative mortality was 0.6‰. Total 2747 patients(3890 lower extremities)were followed up in 6 to 98 months,and the median follow up time was 47.5 months. The follow-up rate was 86.7%in all patients. Total 2697 patients (3548 lower extremities) had accepted the operation more than 1 year,2265 patients (2877 lower extremities) in which were followed up. There were 133 patients(4.92%)recurred(above C2). Conclusion Conventional stripping with transilluminated powered phlebectomy for varicose vein of lower limb has the advantages of little trauma,easily operating,definite effect,less complication. The follow-up results suggest that the operation is a surgical procedure with rapid recovery and low recurrence rate.