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Purpose <p>This study aimed to evaluate and compare the efficacy of two-stage and single-stage surgical strategies in managing superficial thrombophlebitis of varicose veins in the lower extremities, focusing on postoperative complications, recovery time, and overall patient outcomes.</p> Materials &amp; methods <p>A retrospective analysis was conducted on 102 patients diagnosed with superficial thrombophlebitis of varicose veins between 2020 and 2024 at the Izhevsk Republic Clinical Hospital. F. Verrel (1998) classified patients into four groups based on the extent of thrombosis. Treatment options included conservative therapy, single-stage radical phlebectomy, and a two-stage surgical approach, which involved crossectomy followed by radical phlebectomy. The type of thrombosis and the patient's condition determined the treatment choice.</p> Results <p>Of the 102 patients, 65 (63.7%) were female and 37 (36.3%) were male, with a mean age of 47.2 ± 11.3&#xa0;years. Patients received either conservative therapy (n = 17), two-stage surgery (n = 48), or single-stage surgery (n = 37). Using one-way ANOVA, the two-stage approach demonstrated lower complications compared to the single-stage approach (p &lt; 0.05), including reduced wound infections (6.3% vs. 13.9%) and nerve damage (5.1% vs. 16.2%). Additionally, patients undergoing the two-stage procedure showed improved quality of life and faster recovery times.</p> Conclusion <p>The two-stage surgical strategy offers superior clinical outcomes over single-stage interventions, significantly reducing postoperative complications and enhancing recovery. It is the optimal treatment for superficial thrombophlebitis of varicose veins, particularly in more severe cases.</p>

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Comparing two-stage and single-stage surgical strategies for superficial thrombophlebitis of varicose veins: insights from a single-center retrospective cohort study

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  • 出版模式：

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  • 发表日期：

    2025年6月3日

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  • Victor Olamiposi Olaiya,
  • Vincentia Kuukua Agyekum,
  • Fidelis Ejeheri,
  • Johnson Matola

摘要

Purpose

This study aimed to evaluate and compare the efficacy of two-stage and single-stage surgical strategies in managing superficial thrombophlebitis of varicose veins in the lower extremities, focusing on postoperative complications, recovery time, and overall patient outcomes.

Materials & methods

A retrospective analysis was conducted on 102 patients diagnosed with superficial thrombophlebitis of varicose veins between 2020 and 2024 at the Izhevsk Republic Clinical Hospital. F. Verrel (1998) classified patients into four groups based on the extent of thrombosis. Treatment options included conservative therapy, single-stage radical phlebectomy, and a two-stage surgical approach, which involved crossectomy followed by radical phlebectomy. The type of thrombosis and the patient's condition determined the treatment choice.

Results

Of the 102 patients, 65 (63.7%) were female and 37 (36.3%) were male, with a mean age of 47.2 ± 11.3 years. Patients received either conservative therapy (n = 17), two-stage surgery (n = 48), or single-stage surgery (n = 37). Using one-way ANOVA, the two-stage approach demonstrated lower complications compared to the single-stage approach (p < 0.05), including reduced wound infections (6.3% vs. 13.9%) and nerve damage (5.1% vs. 16.2%). Additionally, patients undergoing the two-stage procedure showed improved quality of life and faster recovery times.

Conclusion

The two-stage surgical strategy offers superior clinical outcomes over single-stage interventions, significantly reducing postoperative complications and enhancing recovery. It is the optimal treatment for superficial thrombophlebitis of varicose veins, particularly in more severe cases.