A study of treatment outcomes on the basis of revised venous clinical severity score in patients of varicose veins undergoing surgical management

Abstract

Background: Chronic venous disease is a prevalent and progressive disease. There has been a tremendous increase in venous technologies and procedural volumes over the past decade, but still, there is a great deficiency in available clinical data. Reporting of clinical outcomes in a standard fashion is the need of the hour required to compare devices and other therapeutic methods intended to improve clinical outcomes. Materials and Methods: This is a prospective observational study carried out between November 2016 and October 2018 on 200 consecutive cases that underwent surgical management for varicose veins. Results: Revised venous clinical severity score (RVCSS) scores reduced significantly after surgical intervention and subsequent follow-up; however, when comparing the scores between the two groups, there was no significant statistical difference. Conclusion: RVCSS coupled with Clinical-Etiology-Anatomy-Pathophysiology provides a standard clinical language to report and compare different approaches to cardiovascular diseases management. Ligation and stripping (L and S) are the gold standard for the treatment of varicose veins, endovascular procedures are expensive and have similar efficacy as L and S, however, are preferred in the present era due to better cosmetic and faster recovery.

Keywords

• clinical clinical-etiology-anatomy-pathophysiology
• revised venous clinical severity score scores
• sapheno-femoral junction ligation
• varicose vein