Abstract

Aim: We aimed for early results of patients that had undergone lower extremity varicose vein surgery in our clinic.
Material and Method: Thirty-six patients were included in the study that had lower extremity varicose vein surgery between April 2011 and September 2011 in our clinic. Bilateral lower extremity venous duplex ultrasonography (USG) was performed to all patients, preoperatively.
Results: Mean age of patients was 39.6 (18-60). Twenty-three of patients were male and 13 were female. Spinal anesthesia was used for all patients in operation. Right lower extremity stripping and ambulatory phlebectomy was performed for 17 patients, left lower extremity stripping and ambulatory phlebectomy for 14 patients, left lower extremity phlebectomy for 4 patients and a right lower extremity phlebectomy for one patient. Eighteen patients were CEAP (Clinical severity, Etiology or cause, Anatomy,  Pathophysiology) Classification  Class 3, 16 patients were CEAP Class 4-5 and 2 patients were CEAP Class 6. Great saphenous vein reflux was detected for 31 patients on the Doppler USG and stripping procedure was performed on all these patients.
Conclusions: We prefer endovenous laser ablation method for patients if CEAP classification is class 1-2 but we prefer surgical treatment for patients if CEAP classification is class 3 and above in our clinic. We applied not only high ligation but also stripping procedure for the surgical treatment of patient with saphenous vein reflux which was detected with Doppler ultrasonography.
Key Words: Varicose Vein; Surgery; Therapy