PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jrsocmedLink to Publisher's site
 
J R Soc Med. 1993 January; 86(1): 21–23.
PMCID: PMC1293817

Does venous function deteriorate in patients waiting for varicose vein surgery?

Abstract

We have looked at the deterioration in the condition of the lower limbs in a group of 36 patients who were waiting for a median time of 20 months for varicose vein surgery, using clinical examination, colour Duplex scanning and photoplethysmograph (95% refilling times). We found a significant deterioration in this group of patients, with four limbs initially unaffected developing reflux on Duplex scanning, of which three had clinical varicose veins (all four were offered surgery), and of the initial 56 involved limbs, 10 further sources of reflux were found (18%), necessitating alteration of the initial planned surgical procedure. No patient developed deep venous insufficiency or ulceration while on the waiting list, although there was one new case of lipodermatosclerosis. However, had surgery been undertaken after the first assessment, 14 patients (25%) would potentially have required further surgery, although accepting this as justification for allowing patients to wait takes no account of patients suffering or quality of life while waiting for operation.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (637K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.
 
 

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Grant EG, Tessler FN, Perrella RR. Clinical Doppler imaging. AJR Am J Roentgenol. 1989 Apr;152(4):707–717. [PubMed]
  • Foley WD, Middleton WD, Lawson TL, Erickson S, Quiroz FA, Macrander S. Color Doppler ultrasound imaging of lower-extremity venous disease. AJR Am J Roentgenol. 1989 Feb;152(2):371–376. [PubMed]
  • Kempczinski RF, Berlatzky Y, Pearce WH. Semi-quantitative photoplethysmography in the diagnosis of lower extremity venous insufficiency. J Cardiovasc Surg (Torino) 1986 Jan-Feb;27(1):17–23. [PubMed]
  • Abramowitz HB, Queral LA, Finn WR, Nora PF, Jr, Peterson LK, Bergan JJ, Yao JS. The use of photoplethysmography in the assessment of venous insufficiency: a comparison to venous pressure measurements. Surgery. 1979 Sep;86(3):434–441. [PubMed]
  • Nicolaides AN, Miles C. Photoplethysmography in the assessment of venous insufficiency. J Vasc Surg. 1987 Mar;5(3):405–412. [PubMed]
  • Miller SS, Foote AV. The ultrasonic detection of incompetent perforating veins. Br J Surg. 1974 Aug;61(8):653–656. [PubMed]
  • Bishara RA, Sigel B, Rocco K, Socha E, Schuler JJ, Flanigan DP. Deterioration of venous function in normal lower extremities during daily activity. J Vasc Surg. 1986 May;3(5):700–706. [PubMed]
  • McAdam WA, Horrocks JC, de Dombal FT. Assessment of the results of surgery for varicose veins. Br J Surg. 1976 Feb;63(2):137–140. [PubMed]
  • Sigel B, Edelstein AL, Felix WR, Jr, Memhardt CR. Compression of the deep venous system of the lower leg during inactive recumbency. Arch Surg. 1973 Jan;106(1):38–43. [PubMed]
  • Sigel B, Edelstein AL, Savitch L, Hasty JH, Felix WR., Jr Type of compression for reducing venous stasis. A study of lower extremities during inactive recumbency. Arch Surg. 1975 Feb;110(2):171–175. [PubMed]
  • Lewis CE, Jr, Antoine J, Mueller C, Talbot WA, Swaroop R, Edwards WS. Elastic compression in the prevention of venous stasis. A critical reevaluation. Am J Surg. 1976 Dec;132(6):739–743. [PubMed]
  • Husni EA, Ximenes JO, Goyette EM. Elastic support of the lower limbs in hospital patients. A critical study. JAMA. 1970 Nov 23;214(8):1456–1462. [PubMed]
  • Gjöres JE, Thulesius O. Compression treatment in venous insufficiency evaluated with foot volumetry. Vasa. 1977;6(4):364–368. [PubMed]
  • Jones NA, Webb PJ, Rees RI, Kakkar VV. A physiological study of elastic compression stockings in venous disorders of the leg. Br J Surg. 1980 Aug;67(8):569–572. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press