Surgical treatments for deep venous incompetence
Scott A, Corabian P
Record ID 32003001123
English
Authors' objectives:
To critically appraise and synthesise the published evidence regarding the short and long term efficacy of surgical techniques for patients with deep venous incompetence, and attendant skin changes/ulceration, that is refractory to standard case.
Authors' recommendations:
It is unlikely that a large randomised, or even non-randomised controlled trial will be conducted to ascertain the safety and efficacy of surgery for deep venous incompetence because the complexity and long-term nature of chronic venous insufficiency (CVI), plus the small proportion of CVI patients with refractory ulcer, make patient selection and ethical surgical comparison problematic. However, standardised reporting and collection of data in a registry would be a move forward. In addition, professional bodies such as The Royal College of Physicians and Surgeons of Canada should consider providing guidance, in the form of an evidence based treatment algorithm, that would define when to perform superficial venous surgery (SVS) in patients with mixed or deep venous incompetence and what type of deep venous surgery is considered appropriate for different indications.
Given that controversy still surrounds many aspects of CVI, it is clear that further good quality research is urgently needed. While it is important to know whether surgery for deep venous incompetence is efficacious and durable, it is equally important to quantify why less invasive treatments have failed in patients requiring surgery for deep venous incompetence.
Authors' methods:
Systematic review
Details
Project Status:
Completed
Year Published:
2003
URL for published report:
http://www.ihe.ca/advanced-search/surgical-treatments-for-deep-venous-incompetence
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Vascular Surgical Procedures
- Venous Insufficiency
Contact
Organisation Name:
Institute of Health Economics
Contact Address:
1200, 10405 Jasper Avenue, Edmonton, Alberta, Canada, T5J 3N4. Tel: +1 780 448 4881; Fax: +1 780 448 0018;
Contact Name:
djuzwishin@ihe.ca
Contact Email:
djuzwishin@ihe.ca
Copyright:
<p>Alberta Heritage Foundation for Medical Research (AHFMR)</p>
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