RESULTS OF SHORT STRIPPING OF THE GREAT SAPHENOUS VEIN IN SURGICAL TREATMENT OF VARICOSE DISEASE IN THE LOWER EXTREMITIES

Abstract

The study compared the outcomes of modified short stripping and traditional surgical removal of the great saphenous vein (GSV) for varicose veins in the lower extremities. A retrospective analysis was conducted on the treatment results of 148 patients who underwent surgery for varicose veins between 2017 and 2022. The main group included 73 patients who underwent short stripping of the GSV, while the control group consisted of 75 patients who had their GSV completely removed from the groin to the medial malleolus using the traditional method. Significant differences were observed between the two groups in terms of the operation duration, intraoperative bleeding, number of incisions, and bed days required for recovery (P˂0.1). The chronic venous insufficiency questionnaire (CVIQ-14) and the severity of venous clinical symptoms (VCSS) showed improvement after surgery in both groups, despite an initial increase compared to preoperative data. Recurrence rates did not differ significantly between the two groups. Therefore, this study supports the use of the modified short stripping of the GSV in the treatment of varicose veins in the lower extremities. This approach improves clinical outcomes, reduces intraoperative blood loss and complications, and shortens the duration of surgery.