Conservative hemodynamic surgery in the management of primary varicosities of the long saphenous vein: emerging experience in suez canal university hospital

Abstract EN

Background: Contrary to traditional long saphenous vein (LSV) surgeries, stripping and endovenous laser ablation, using heat coagulation, ambulatory conservative hemodynamic correction of venous insufficiency (CHIVA) is LSV sparing technique.

Aim: Based on the lack of studies discussing success and recurrence rate, this study was designed to assess the immediate and oneyear follow-up of this technique, as well as its efficacy and safety.

Patients and Methods: Thirtythree patients with primary LSV varicosities were included in this uncontrolled clinical trial.

Patients with LSV diameter of ≥9.5mm or pregnancy were excluded.

Results: The mean age of our patients was 33.36±8.865 years, and 54.5% of them were males.

According to Hobb's score, 25 patients (75.7%) were completely cured, 6 patients (18.1%) were improved, while 2 patients (6.2%) were considered as failure.

Most (87.9%) of the patients showed absent or no visible recurrence.

The rest showed visible recurrence by duplex ultrasound.

All patients had significant improvement of their symptoms (no pain, or edema) atthe immediate follow-up after operation.

No complication including hematomas, ecchymosis, hemorrhage, saphenous nerve neuralgia, phlebitis, infection, deep or LSV thrombosis was detected.

Conclusion: CHIVA is a successful and effective option in managing patients with primary long Saphenous varicosities, with minimal recurrence rate, after one-year of follow-up.