[Effectiveness of combined repeat surgery and sclerotherapy after failure of surgical treatment of varicose veins].
From January 1985 to December 1986 one hundred and five patients (145 lower limbs) have been treated by redosurgery followed by sclerotherapy. It is a selected group because redosurgery decision was taken both by surgeon and angiologists on the basis that a significant reflux between the profunda system and the superficial system was present. The aim of this retrospective study was to assess results obtained by this therapeutic association with a follow-up from 5 to 6 years. Failure mechanisms of initial treatment, symptoms, preoperative investigations, redosurgery procedures are analysed. Results were estimated both by a questionnaire and an independent audit. Patient estimation: symptoms improvement 65%; cosmetics improvement 68%. Audit estimation:


METHODS
excellent or good results: 78%, fair results: 12%, poor results: 10%. Cosmetics: excellent or good results: 30%, fair results: 53%, poor results: 17%. 82% of patients plebiscited redosurgery in cooperation with sclerotherapy.
Perrin
M
M
Gobin
J P
JP
Grossetête
C
C
Henry
F
F
Leprêtre
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D015911:Sclerotherapy; D011795:Surveys and Questionnaires; D017211:Treatment Failure; D014648:Varicose Veins / Q000601:surgery / Q000628:therapy*
Valeur de l'association chirurgie itérative-sclérothérapie après échec du traitement chirurgical des varices.