A PROSPECTIVE CASE CONTROL STUDY COMPARING SHORT-TERM AND LONG-TERM OUTCOMES OF SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY AND OPEN SUBFASCIAL PERFORATOR LIGATION IN THE MANAGEMENT OF VARICOSE VEINS
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Abstract
Varicose veins are dilated, elongated, and tortuous superficial veins of the lower limbs, primarily caused by venous valve incompetence and resulting in venous hypertension. Persistent reflux leads to progressive chronic venous insufficiency (CVI), stasis eczema and chronic non-healing ulcers. [1][2] Homans in 1916, first described the key role of perforator veins (PVs), in the pathophysiology and severity of CVI and venous ulceration. [3][4][5] Diagnosis is by clinical evaluation, Duplex Doppler imaging. [1] Clinical Aetiologic Anatomic Pathophysiologic (CEAP) classification, established in 1994, is a precise diagnostic tool to assess and categorise a chronic venous disease. [6][7]
References
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