n CME : Your SA Journal of CPD - More about ... vascular surgery

Volume 27, Issue 7
  • ISSN : 0256-2170



The fundamentals of varicose vein surgery have not changed for many decades and conventional open surgery remains the gold standard against which other treatment modalities are measured. Conventional open surgery is, however, not without problems. The recurrence rate is 10 - 15% at 2 years and as high as 60 - 70% after 20 years. Approximately 25% of patients require further surgery and recurrent disease accounts for 20% of all varicose vein surgery. Despite being a relatively minor procedure for a nonlife-threatening condition, varicose vein surgery is a common reason for litigation, accounting for 17% of settled claims in general/vascular surgery. Complications include cutaneous nerve injury (5 - 7%), haematoma (10%), deep vein thrombosis (DVT) (<2%), pulmonary embolism (0.2 - 0.5%), wound infection and pain.

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