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  4. Vol 6, Issue 2, 2025

Clinical Results of Greater Saphenous Vein Closure and High Ligation and Stripping of Greater Saphenous Vein

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DOI: 10.23977/medsc.2025.060206 | Downloads: 10 | Views: 410

Author(s)

Tian Jun 1, He Jiqin 1, Huang Dong 1, Wang Di 1

Affiliation(s)

1 The Department of Cardiac and Large Vascular Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 651100, Yunnan, China

Corresponding Author

He Jiqin

ABSTRACT

This study aims to explore the clinical effects of endovenous laser therapy (EVLT) and modified high ligation and stripping in the treatment of great saphenous vein (GSV) varicosities. The clinical data of 84 patients with GSV treated in the department from January 2020 to December 2023 were collected, and the patients were divided into laser group and stripping group according to the different operation methods. Operation-related indicators (operation time, intraoperative blood loss, postoperative time of first ambulation, hospitalization time), the pain degree of 6h and 24h after surgery, the severity of varicose veins before and 3 months after surgery, the occurrence of complications within 3 months after surgery, and the efficacy of the two groups were compared. In the laser group, the amount of bleeding and incision was less, and the first ambulation and hospital stay were shorter than that of the stripping group (P <0.05). The incidence of subcutaneous hematoma, saphenous nerve injury and total complications were significantly lower in the laser group than in the stripping group, but there was no significant difference in the incidence of incision infection, skin ecchymosis and thrombophlebitis between the two groups (P> 0.05). Compared with the treatment of high ligation and exfoliation, the treatment effect of both is the same, but the incidence of complications of internal cavity surgery is lower, and it has the advantages of less incision, light pain and beauty.

KEYWORDS

Varicose veins; laser therapy; high ligation and stripping; clinical effect; complications

CITE THIS PAPER

Tian Jun, He Jiqin, Huang Dong, Wang Di, Clinical Results of Greater Saphenous Vein Closure and High Ligation and Stripping of Greater Saphenous Vein. MEDS Clinical Medicine (2025) Vol. 6: 38-45. DOI: http://dx.doi.org/10.23977/medsc.2025.060206.

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