Järvinen P, Aromaa U, Asp K
Ann Chir Gynaecol. 1976;65(1):52-7.
From 1967 patients attending for varicose vein surgery at the Meilahti Hospital, Helsinki University Central Hospital, have been operated on on the day of admission, spend the following night in the bed ward and are discharged the morning after the operation. The operation is performed under general anaesthesia with as radical approach as possible stripping the long saphenous vein and, if required, the short saphenous vein, excising the superficial side branches and ligating incompetent perforators. In the study a follow-up examination was carried out on 2334 patients. Wound infections occurred in 1.8%. Two patients had transient arrhythmia, and one a late haemorrhage. More serious complications were absent. During the follow-up period 5.2% of patients were operated on for recurrent varicose veins. 84.6% were subjectively satisfied. The number of hospital days per patient averaged 1.2. It was possible to follow the above planned course of action in 93.4%. The organization and surgical technique can be recommended in order to achieve savings in hospital days and to produce permanent and good surgical results.
来自赫尔辛基大学中心医院梅拉hti医院接受静脉曲张手术的1967名患者，在入院当天接受手术，术后当晚在病床病房度过，术后次日上午出院。手术在全身麻醉下进行，采用尽可能彻底的方法，剥除大隐静脉，如有需要，剥除小隐静脉，切除浅表侧支并结扎功能不全的穿支静脉。在该研究中，对2334名患者进行了随访检查。伤口感染发生率为1.8%。两名患者出现短暂性心律失常，一名患者出现迟发性出血。未出现更严重的并发症。在随访期间，5.2%的患者因复发性静脉曲张接受了手术。84.6%的患者主观满意。每位患者的住院天数平均为1.2天。93.4%的患者能够遵循上述计划的行动方案。为了节省住院天数并产生持久良好的手术效果，可以推荐这种组织方式和手术技术。
