A new surgical technique was developed in Parma for the treatment of varicose veins in the lower limbs.

In the cases of insufficiency of the great saphenous vein, the classic surgical treatment involves stripping with a crossectomy (which consists in cutting the groin) to abolish the reflux which from the femoral vein goes into saphenous during the upright position and causes varicose veins.
The surgeon Paolo Casoni, director of the Poli-lymphological Center of the Piccole Figlie Hospital, has tried another way: remove the saphenous vein without intervening with the groin cut.

Casoni has compared the two techniques: the classic stripping with crossectomy, and the one without crossectomy, even in cases with severe insufficiency of the sapheno-femoral valve. The study started in 2004 on two randomized groups and with the collaboration of a prestigious phlebology center in Paris. Two homogeneous groups of patients, defined as A and B, were followed. "In group A the standard therapy still used today in 90% of European hospitals was performed, in group B the new technique, without inguinal cut. All patients were checked annually with a visit and color doppler echo - explains Casoni - Eight years after the intervention we concluded that the standard technique is responsible for relapses in about 35% of cases, while in the "new" technique without cut to ' groin in 9.6% ».
The proposed method, applicable in the vast majority of cases of insufficiency of the great saphenous vein, allows a return to normal life in 24 hours, does not require special equipment, but a particularly sophisticated pre-operative eco-color doppler study.

The data of this study were presented for the first time at the world phlebology congress in Munich in 2009, combining the cases of the two centers in Parma and Paris with over 1400 cases.

Phlebological surgery, thanks to these innovations, has now become executable, in expert hands, without cuts and with ever lower costs for the national health service. «There is no need to buy expensive equipment - Casoni points out - and there is no need for hospitalization. It is a particularly welcome technique in poor countries, where the result at the lowest price is much more appreciated than in the industrialized countries ".

The study, «with the greatest number of years of follow-up compared to all the others», Casoni points out, was published last July in the prestigious scientific journal «Journal of Vascular Surgery» and last September, at the world phlebology congress held in Boston, Paolo Casoni was given a three-hour symposium on modern vein surgery.

Taken from the Gazzetta di Parma