The comparison in therapeutic efficacy between modified outer sleeve catheter stripping surgery and intracavitary laser treatment for primary great saphenous varicose vein

DOI: 10.12201/bmr.202507.00078

•  

  Abstract: Objective To investigate the difference in therapeutic efficacy between modified outer sleeve catheter stripping surgery and intracavitary laser treatment for primary great saphenous varicose vein. Method Retrospective analysis of clinical data of patients admitted to the Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine from October 2023 to June 2024 who underwent surgery for unilateral great saphenous varicose veins and randomly divided into a modified catheter stripping group (n=65) and a laser treatment group (n=65) according to the random number table method. The modified catheter stripping group used a guide wire to assist in stripping the main trunk of the great saphenous vein, while the laser treatment group used laser intracavitary ablation to close the main trunk of the great saphenous vein. The surgical duration, intraoperative blood loss, 1-week postoperative pain score, and incidence of postoperative complications were observed in both groups.Compare the VCSS and AVVQ scores of two groups of patients 12 month after surgery. Result Comparison between the two groups showed no statistically significant difference (P>0.05) in terms of surgical duration, intraoperative blood loss, 1-week postoperative pain score. There was no statistically significant difference in most of the postoperative complications (P>0.05),except the postoperative subcutaneous cord like induration which was less in modified catheter stripping group than in the laser treatment group, and the difference was statistically significant (P<0.05). There was a statistically significant difference in VCSS and AVVQ scores between the two groups of patients 12 month after surgery compared to before surgery (P<0.05).Conclusion The modified outer sleeve catheter stripping surgery has the advantages of minimally invasive and fast recovery, while solving some of the drawbacks of conventional catheter stripping, making the surgical process smoother. This technique is worthy of further promotion and application in clinical practice.

  Key words: great saphenous varicose veins; modified; outer sleeve catheter stripping; Intracavity laser treatment

  Submit time: 30 July 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• wuzetao. Efficacy Analysis of Two Different Endovascular Thrombectomy Approaches for Treating Early-Stage Lower Extremity Deep Vein Thrombosis: A Single-Center Retrospective Study. 2025. doi: 10.12201/bmr.202506.00037

  Chen Xin Yan, Guo Fang, Li Wei, Chen Hai Tang. Efficacy of the single-port laparoscopic technique in the treatment of ovarian cysts. 2024. doi: 10.12201/bmr.202410.00071

  Lu Xin, Xu Feng. Progress in diagnosis and treatment of deep vein thrombosis after trauma. 2024. doi: 10.12201/bmr.202410.00015

  Observation on the effect and nursing of endoscopic surgery for parotid gland tumors via the postauricular hairline approach. 2024. doi: 10.12201/bmr.202410.00072

  yang weili, chen yanru. Risk management of catheterization room in interventional therapy of congenital heart disease in children. 2025. doi: 10.12201/bmr.202503.00062

  NONG Guangren, LI Honghai, LU Baode, HUANG Yongping. Analysis of the Curative Effect of Combined Treatment of Renal or Upper Ureteral Calculi with Double Endoscopy. 2024. doi: 10.12201/bmr.202408.00067

  李威, Geng Zhong li, Angshaer·Sulaiman. Innovation and evolution of neural monitoring technology in endoscopic thyroid cancer surgery. 2024. doi: 10.12201/bmr.202411.00051

  WANG Hai-yun, DING Yi-shan, CHEN Chao-wei. Analysis of the clinical efficacy value of electroacupuncture and massage therapy in the treatment of knee osteoarthritis. 2024. doi: 10.12201/bmr.202412.00030

  Si chen, Lijie Wang. Primary rectal melanoma: a case report. 2023. doi: 10.12201/bmr.202310.00004

  tanzhichao, lizheng, linfuchun, wuyunfei. Clinical efficacy observation of the four pillar concept in the treatment of Schatzker type I-IV tibial plateau fractures. 2024. doi: 10.12201/bmr.202411.00018

• ID	Submit time	Number	Download
  1	2025-06-05	bmr.202507.00078V1	Download

• Public  Anonymous  To author only Submit Comments