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KMID : 0980120200180020029
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Annals of Phlebology
2020 Volume.18 No. 2 p.29 ~ p.36
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Draft Revision of Clinical Practice Guidelines for Varicose Veins -Treatment-
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Park In-Soo
Kim Jang-Yong
Lee Ho-Gyun
Park Geun-Myeong
Park Jun-Ho
Hwang Hong-Pil
Yun Sang-Chul
Ohe Haeng-Jin
Hong Ki-Pyo
Park Jong-Kwon
Jang Jae-Han
Yun Sang-Seob
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Abstract
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Operation for varicose vein is one of the most commonly performed vascular operations. High ligation and stripping has been traditionally used as a main operative technique for varicose vein treatment. However, endovenous thermal ablation technique including radiofrequency ablation and endovenous laser ablation is now proposed as a primary technique by National Institute for Health and Care Excellence, the Society for Vascular Surgery and the American Venous Forum and European Society for Vascular Surgery. Recently, non-thermal, non-tumescent technique including mechanochemical ablation and cyanoacrylate embolization has been introduced and is widely used. When choosing a treatment technique, we should consider the high closure rate, low complication, recovery time and cost-effectiveness etc. Since most treatment techniques are reported with comparative outcomes, it cannot be concluded that any treatment is the best treatment to date. We tried to consider a suitable treatment method through a review of the latest literatures.
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KEYWORD
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Clinical practice guideline, Varicose vein, Evidence based medicine
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