Endovenous or open venous surgery: choices to make.
Numerous techniques are available to treat varicose veins. In this overview a balance is sought between the advantages and the disadvantages of all techniques. Endovenous techniques have been introduced by comparing them with classical stripping, resulting in favourable results for the former procedures. In daily practice the quality of life to be gained by using endovenous procedures can be achieved with state of the art open surgery as well, and loss due to recurrences e.g. after neovascularization is compensated by superior single session results. At the end, optimum treatment will be tailored to each individual patient, be it endovenous, open or a combination of both. Health care providers will have to be able to offer a range of open and endovenous treatment modalities.
van den Broek
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Dept. of Vascular Surgery, Waterland Hospital, Purmerend, Netherlands. tvdbroek@wlz.nl
D002755:Choice Behavior; D006801:Humans; D018919:Neovascularization, Physiologic; D011788:Quality of Life; D018608:Ultrasonography, Doppler; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*