title: Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options.
abstract: Objective The aim of the present study is to compare a mini-invasive (smaller than 2-cm incision) sapheno-femoral high-tie by clip apposition (HT group) with a traditional high-ligation by ligature (HL group). Methods One hundred fifty chronic venous disease patients were included in group HT and compared with 150 cases constituting the group HL. The main outcome was the sonographic detection of saphenous trunk recurrences. Procedural pain, esthetic satisfaction, and disease specific quality of life were assessed. Results At 4.5 ± 2.4 years follow-up, 8 cases (5.3%) of Great Saphenous Vein reflux reappearance were reported in group HT vs. 19 cases (12.6%) (odds ratio: 2.6; 95% confidence interval: 1.1-6.1; P = 0.04) of group HL. Esthetic satisfaction was scored as high and very high in group HT and HL, respectively (P < .0001). Conclusions Proper high-ligation technique provides satisfying outcomes both in terms of recurrence rate and patient esthetic satisfaction. The different outcomes obtained by the two groups encourage further investigations regarding recurrence pathogenesis.
authors.affiliation: Vascular Diseases Center, University of Ferrara, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Gianesini
authors.affiliation: Vascular Diseases Center, University of Ferrara, Italy.
authors.forename: Erica
authors.initials: E
authors.lastname: Menegatti
authors.affiliation: Vascular Diseases Center, University of Ferrara, Italy.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Malagoni
authors.affiliation: Vascular Diseases Center, University of Ferrara, Italy.
authors.forename: Savino
authors.initials: S
authors.lastname: Occhionorelli
authors.affiliation: Vascular Diseases Center, University of Ferrara, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Zamboni
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014689:Venous Insufficiency / Q000601:surgery*
keywords: Chronic venous insufficiency; great saphenous vein; ligation; saphenofemoral junction; surgery