Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía

Ilustraciones, gráficas

Autores:
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad de Caldas
Repositorio:
Repositorio Institucional U. Caldas
Idioma:
eng
spa
OAI Identifier:
oai:repositorio.ucaldas.edu.co:ucaldas/17563
Acceso en línea:
https://repositorio.ucaldas.edu.co/handle/ucaldas/17563
https://repositorio.ucaldas.edu.co
Palabra clave:
Enfermedades
Venas
Calidad de vida
Insuficiencia venosa
Cirugía
Vena safena
Várices.
Rights
closedAccess
License
http://purl.org/coar/access_right/c_14cb
id REPOUCALDA_4a56d2649bb5b48e7dca491b24349730
oai_identifier_str oai:repositorio.ucaldas.edu.co:ucaldas/17563
network_acronym_str REPOUCALDA
network_name_str Repositorio Institucional U. Caldas
repository_id_str
dc.title.none.fl_str_mv Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
title Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
spellingShingle Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
Enfermedades
Venas
Calidad de vida
Insuficiencia venosa
Cirugía
Vena safena
Várices.
title_short Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
title_full Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
title_fullStr Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
title_full_unstemmed Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
title_sort Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomía
dc.contributor.none.fl_str_mv Gomez, Carlos
Grupo de Gastroenterología Clínico Quirúrgica de Caldas (Categoría C)
dc.subject.none.fl_str_mv Enfermedades
Venas
Calidad de vida
Insuficiencia venosa
Cirugía
Vena safena
Várices.
topic Enfermedades
Venas
Calidad de vida
Insuficiencia venosa
Cirugía
Vena safena
Várices.
description Ilustraciones, gráficas
publishDate 2022
dc.date.none.fl_str_mv 2022-04-20T18:57:29Z
2022-04-20T18:57:29Z
2022-04-20
dc.type.none.fl_str_mv Trabajo de grado - Especialización
http://purl.org/coar/resource_type/c_7a1f
Text
info:eu-repo/semantics/bachelorThesis
https://purl.org/redcol/resource_type/TP
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_b1a7d7d4d402bcce
dc.identifier.none.fl_str_mv https://repositorio.ucaldas.edu.co/handle/ucaldas/17563
Universidad de Caldas
Repositorio de la Universidad de Caldas
https://repositorio.ucaldas.edu.co
url https://repositorio.ucaldas.edu.co/handle/ucaldas/17563
https://repositorio.ucaldas.edu.co
identifier_str_mv Universidad de Caldas
Repositorio de la Universidad de Caldas
dc.language.none.fl_str_mv eng
spa
language eng
spa
dc.relation.none.fl_str_mv 1. Bergan JJ, Bunke-Paquette N. Vein Book. 2a. ed. Oxford. Oxford University Press.2014; Chapter 1.
2. Bergan JJ, Bunke-Paquette N. Vein Book. Second edition. Oxford. Oxford University Press; 2014. Chapter 3.
3. Cronenwett J, Johnston K.W, Rutherford R. Rutherfords´s Vascular Surgery .Chronic Venous Disorders: General Considerations. Ninth Edition. Philadelphia. 2019; Chapter 55
4. Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D. The epidemiology of chronic venous insufficiency and varicose vein.s. Ann Epidemiol. 2005; 15:175–184. DOI: 10.1016/j.annepidem.2004.05.015
5. Eberhardt R, Raffetto JD. Chronic Venous Insufficiency. Circulation. 2014; 130(4): 333-346. DOI: 10.1161/CIRCULATIONAHA.113.006898
6. Dimakakos, E., Syrigos, K., Scliros, E. Karaitianos, I. Prevalence, risk and aggravating factors of chronic venous disease: an epidemiological survey of the general population of Greece. Phlebology, 2013; 28(4), 184–190. DOI: 10.1258/phleb.2011.011143
7. Khan, A. Chaudhri, R., Ashraf M. Mazaffar M S. Zawar-ul-Imam S, Tanveer M. Prevalence and presentation of chronic venous disease in Pakistan: a multicentre study. Phlebology, 2013;28 (2), 74–79. DOI: 10.1258/phleb.2012.011122
8. Rabe E, et al: The VCP Coordinators: Epidemiology of chronic venous disorders in geographically diverse populations: results from the Vein Consult Program. Int Angiol. 2012; 31:105–115. PMID: 22466974.
9. Brand FN, Dannenberg AL, Abbott RD, Kannel WB. The epidemiology of varicose veins: the Framingham Study. Am J Prev Med. 1988;4:96–101. PMID: 3395496
10. Fowkes FG, Evans CJ, Lee AJ. Prevalence and risk factors for chronic venous insufficiency. Angiology. 2001;52:S5–S15. DOI: 10.1177/0003319701052001S02
11. Rial Horcajo R, Serrano FJ. Moñux Ducajú G. Reina T. Martín A. Enfermedad venosa crónica. Conceptos actuales y avances terapéuticos. Medicine. 2017;12(41), 2448–2457. DOI: 10.1016/j.med.2017.09.013.
12. Vlajinac, HD, Radak, ÐJ, Marinković JM, Maksimović MŽ. Risk factors for chronic venous disease. Phlebology: The Journal of Venous Disease; 27(8), 416–422. DOI: 10.1258/phleb.2011.011091
13. Abbad CM, Horcajo RR, Ballesteros-Ortega MD. Guía de práctica clínica en enfermedad venosa crónica del Capítulo de Flebología y Linfología de la Sociedad Española de Angiología y Cirugía Vascular. Angiología. 2015; 68 (1):55-62. DOI: 10.1016/j.angio.2015.09.011
14. Carrasco OF, Ranero A, Hong E, Vidrio H. Endothelial function impairment in chronic venous insufficiency: effect of some cardiovascular protectant agents. Angiology. 2010; 60(6):763-71. DOI: 10.1177/0003319709332108
15. Davis HA, Lim CS, Natural history and progression of primary chronic venous disorder. Journal Of Vascular Surgery. 2010; 52(14).
16. Nicolaides A, Kakkos S, Baekgaard N. Management of chronic venous disorders of the lower limbs. Guidelines According to Scientific Evidence. Part I.Int Angiol. 2018; 37(3):181-254. DOI: 10.23736/S0392-9590.18.03999-8
17. Killewich LA, Bedford GR, Beach KW, Strandness DE Jr. Spontaneous lysis of deep venous thrombi: rate and outcome. J Vasc Surg 1989;9:89-97. PMID: 2911146
18. Sansilvestri-Morel P, Rupin A, Jaisson S, Fabiani JN, Verbeuren TJ, Vanhoutte PM. Synthesis of collagen is dysregulated in cultured fibroblasts derived from skin of subjects with varicose veins as it is in venous smooth muscle cells. Circulation DOI: 10.1161/01.cir.0000022846.22923.46
19. Bergan JJ, Schmid-Schonbein GW, Smith PD, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med 2006;355:488-98. DOI: 10.1056/NEJMra055289
20. Leu AJ, Leu HJ, Franzeck UK, Bollinger A. Microvascular changes in chronic venous insuficiency-a review. Cardiovasc Surg. 1995;3(3):237-45. DOI: 10.1016/0967-2109(95)93871-l
21. Pappas PJ, Durán WN, Hobson RW. Pathology and cellular physiology of chronic venous insufficiency. In: , Gloviczki P, Yao JS, eds. Handbook of Venous Disorders, 2nd Edition. New York, NY: Arnold Publisher; 2001:5867.
22. Lake M, Pratt GH, Wright IS. Arteriosclerosis and varicose veins: Occupational activities and other factors. JAMA. 1942;119:696–701.
23. Bobek K, Cajzl L, Cepelak V, Slaisova V, Opatzny K, Barcal R. A study of the frequency of venous diseases and influence of some etiologic factors. Phlebologie. 1966;19:217–230.
24. Mekky S, Schilling RSF, Walford J. Varicose veins in women cottonworkers. An epidemiological study in England and Egypt. BMJ. 1969;2:591–595. DOI: 10.1136/bmj.2.5657.591
25. Malhotra SL. An epidemiological study of varicose veins in Indian railroad workers from the South and North of India, with special reference to the causation and prevention of varicose veins. Int J Epidemiol. 1972;1:177– 183. DOI: 10.1093/ije/1.2.177
26. Coon WW, Willis PW, Keller JB. Venous thromboembolism and other venous disease in the Tecumseh Community Health Study. Circulation.1973;48:839846. DOI: 10.1161/01.cir.48.4.839
27. Da Silva A, Widmer LK, Martin H, Mall T, Glaus L, Schneider M. Varicose veins and chronic venous insufficiency: Prevalence and risk factors in 4376 subjects of the Basle Study II. Vasa. 1974;3:118–125. PMID: 4831533
28. Beaglehole R, Prior IAM, Salmond CE, Davidson F. Varicose veins in the south pacific. Int J Epidemiol. 1975; 4:295–299. DOI: 10.1093/ije/4.4.295
29. Abramson JH, Hopp C, Epstein LM. The epidemiology of varicose veins. A survey in western Jerusalem. J Epidemiol Community Health. 1981; 35:213217. doi: 10.1136/jech.35.3.213
30. Maffei FHA, Magaldi C, Pinho SZ, Lastoria S, Pinho W, Yoshida WB, et al. Varicose veins and chronic venous insufficiency in Brazil: Prevalence among 1755 inhabitants of a country town. Int J Epidemiol. 1986; 15:210217. DOI: 10.1093/ije/15.2.210
31. Laurikka J, Sisto T, Auvinen O, Tarkka M, Laara E, Hakoma M. Varicose veins in a Finnish population aged 40–60. J Epidemiol Community Health. 1993;47:355–357. DOI: 10.1136/jech.47.5.355
32. Sisto T, Reunanen A, Laurikka J, Impivaara O, Heliovaara M, Knekt P, et al. Prevalence and risk factors of varicose veins in lower extremities: MiniFinland Health Survey. Eur J Surg. 1995;161:405–414. PMID: 7548376.
33. Evans CJ, Fowkes FGR, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53:149–153. DOI: 10.1136/jech.53.3.149
34. Criqui MH, Jamosmos M, Fronek A, Denenberg JO, Langer RD, Bergan J, et al. Chronic venous disease in an ethnically diverse population. Am J. J Epidemiol. 2003 Sep 1;158(5):448-56. doi: 10.1093/aje/kwg166.
35. Gujja, K., Sanina, C., & Wiley, J. M. Chronic Venous Insufficiency. Interventional Cardiology. 2016; 759–767. DOI: 10.1016/j.iccl.2014.07.001
36. Noel AA, Gloviczki P, Cherry KJ, Rooke TW, Stanson AW, Driscoll DJ. Surgical treatment of venous malformations in Klippel-Trénaunay syndrome. J Vasc Surg. 2000;32:840–847. DOI: 10.1067/mva.2000.110343
37. Porter JM, Moneta GL. Reporting standards in venous disease: an updateInternational Consensus Committee on Chronic Venous Disease. J Vasc Surg. 1995;21:635–645. DOI: 10.1016/s0741-5214(95)70195-8
38. Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, et al. American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40:1248-52. DOI: 10.1016/j.jvs.2004.09.027
39. Lurie F, Passman M, Meisner M, Dalsing M. The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. 2020 May;8(3):342-35. DOI: 10.1016/j.jvsv.2019.12.075
40. Rutherford RB, Padberg FT, Comerota AJ, Kistner RL, Meissner MH, Moneta GL. Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg. 2000;31:1307–1312. DOI: 10.1067/mva.2000.107094
41. Gloviczki P, Comerota AJ, Dalsing MC, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011;53(5):2S-48S. DOI: 10.1016/j.jvs.2011.01.079
42. White JV, Ryjewski C. Chronic venous insufficiency. Perspect Vasc Surg Endovasc Ther. 2005;17(4):319-27. DOI: 10.1177/153100350501700406
43. Carman TL, Al-Omari A. Evaluation and Management of Chronic Venous Disease Using the Foundation of CEAP. Current Cardiology Reports. 2019; 21(10). DOI: 10.1007/s11886-019-1201-1
44. Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. The Korean Journal of Internal Medicine. 2019. 34(2), 269–283. DOI: 10.3904/kjim.2018.230
45. Criado E, Farber MA, Marston WA, Daniel PF, Burnham CB, Keagy BA. The role of air plethysmography in the diagnosis of chronic venous insufficiency. J Vasc Surg 1998;27:660-670. DOI: 10.1016/s0741-5214(98)70231-9
46. Garcia R, Labropoulos N. Duplex Ultrasound for the Diagnosis of Acute and Chronic Venous Diseases. Surgical Clinics of North America. 2018 98(2), 201–218. DOI: 10.1016/j.suc.2017.11.007
47. Meissner MH, Moneta G, Burnand K, et al. The hemodynamics and diagnosis of disease. DOI: 10.1016/j.jvs.2007.09.043
48. Neglén P, Egger JF III, Olivier J, Raju S. Hemodynamic and clinical impact of ultrasound-derived venous reflux parameters. J Vasc Surg. 2004;40:303310. DOI: 10.1016/j.jvs.2004.05.009
49. Danielsson G, Arfvidsson B, Eklof B, et al. Reflux from thigh to calf, the major pathology in chronic venous ulcer disease: surgery indicated in the majority of patients. Vasc Endovascular Surg 2004;38(3):209–19. DOI: 10.1177/153857440403800303
50. Motykie GD, Caprini JA, Arcelus JI, Reyna JJ, Overom E, Mokhtee D. Evaluation of therapeutic compression stockings in the treatment of chronic venous insufficiency. Dermatol Surg. 1999;25:116–120. doi: 10.1046/j.15244725.1999.08095.x
51. Mayberry JC, Moneta GL, Taylor LM Jr, Porter JM. Fifteen-year results of ambulatory compression therapy for chronic venous ulcers. Surgery. 1991;109:575–581. PMID: 2020902
52. O’Donnell T, Passman MA, Marston WA, Ennis W, Dalsing M, Kistner RL, Gloviczki P. Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. Journal of Vascular Surgery. 2014; 60(2), 3S–59S. DOI: 10.1016/j.jvs.2014.04.049
53. O’Meara S, Cullum N, Nelson EA, Dumville JC.Compression for venous leg ulcers. Cochrane Database of Systematic Reviews. 2012. DOI: 10.1002/14651858.CD000265.pub3
54. Martinez‐Zapata MJ, Vernooij RWM, Uriona Tuma SM, Stein AT, Moreno RM, Vargas E, Capellà D, Bonfill Cosp X. Phlebotonics for venous insufficiency. Cochrane Database of Systematic Reviews. 2016, Issue 4. PMCID: PMC7173720 DOI: 10.1002/14651858.CD003229.pub3
55. Padberg FT, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. Journal of Vascular Surgery. 2004; 39(1), 7987. DOI: 10.1016/j.jvs.2003.09.036
56. Scultetus AH, Villavicencio JL, Kao TC, Gillespie DL, Ketron GD, Iafrati MD, Pikoulis E, Eifert S. Microthrombectomy reduces postsclerotherapy pigmentation: multicenter randomized trial. J Vasc Surg. 2003;38:896–903. DOI: 10.1016/s0741-5214(03)00920-0
57. Nesbitt C, Bedenis R, Bhattacharya V, Stansby G. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices. Cochrane Database of Systematic Reviews. 2014. DOI: 10.1002/14651858.CD005624.pub3
58. MacKenzie RK, Allan PL, Ruckley CV, Bradbury AW. The effect of long saphenous vein stripping on deep venous reflux. Eur J Vasc Endovasc Surg. 2004;28:104–107. DOI: 10.1016/j.ejvs.2004.03.009
59. Barwell JR, Davies E, Deacon J, Harvey K., Minor J, Sassano A. et al. . Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. The Lancet. 2004; 363(9424), 1854–1859. DOI: 10.1016/S0140-6736(04)16353-8
60. Rasmussen LH, Lawaetz M, Bjoern L, Vennits B, Blemings A, Eklof B. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose DOI: 10.1002/bjs.7555
61. Bellmunt-Montoya S, Escribano JM, Dilme J, Martínez-Zapata MJ. CHIVA methodfor the treatment of chronic venous insufficiency. Cochrane Database Syst Rev.2015;(6):CD009648. DOI: 10.1002/14651858.CD009648.pub2
62. Shumaker S, Naughton M. The International Assessment of Health-Related Quality of Life: a theoretical perspective. En: Shumaker S, Berson R, editors. The international assessment of health-related quality of life: theory, translation, measurement and analysis. Oxford: Rapid Communications, 1995.
63. Kurz X, Lamping DL, Kahn SR, et al. Do varicose veins affect quality of life? Results of an international population-based study. Journal of Vascular Surgery 2001; 34: 641-648. DOI: 10.1067/mva.2001.117333
64. Kaplan R, Criqui M, Denenberg J, Bergan J, Fronek A. Quality of life in patients with chronic venous disease: San Diego population study. Journal of Vascular Surgery 2003; 37: 1047-1053. DOI: 10.1067/mva.2003.168
65. Paty J, Turner-Bowker DM, Elash CA, Wright D. The VVSymQ_ instrument: Use of a new patient-reported outcome measure for assessment of varicose vein symptoms. Phlebology DOI: 10.1177/0268355515595193
66. Launois R, Reboul-Marty J, Henry B, et al. Construction and validation of a quality of life questionnaire in chronic lower limb venous insufficiency (CIVIQ). Qual Life Res 1996; 5: 539–554. DOI: 10.1007/BF00439228
67. Lamping DL, Schroter S, Kurz X, et al. Evaluation of outcomes in chronic venous disorders of the leg: developmentof a scientifically rigorous, patientreported measure of symptoms and quality of life. J Vasc Surg 2003; 37: 410419. DOI: 10.1067/mva.2003.152
68. Paty J. VVSymQ™ and patient profiles: interpreting a new patient-reported outcome (PRO) instrument for great saphenous vein incompetence (GSVI). J Interv Radiol 2014; 25(3): S101. 216. DOI: Vasc 10.1016/j.jvir.2013.12.283
69. Todd KL, Wright DI and the VANISH-2 Investigators. The VANISH-2 study: a randomized, blinded, multicenter study to evaluate the efficacy and safety of polidocanol endovenous microfoam 0.5% and 1.0% compared with placebo for the treatment of saphenofemoral junction incompetence. Phlebology 2014; 29: 608–618. DOI: 10.1177/0268355513497709
70. VANISH-1: Phase III Study of Polidocanol Endovenous Microfoam on the Appearance of Varicose Veins. Podium presentation by Theodore King, Am Coll Phlebology, 2012.
71. Paty J. Elash C, Turner-Bowker D. Content Validity for the VVSymQ Instrument: A New Patient-Reported Outcome Measure for the Assessment of Veins Symptoms Jean. Patient.2017; 10:51–63. DOI: 10.1007/s40271-016-0183-y
72. Aber A, Poku E, Phillips P, Essat M, Buckley-Woods H, Palfreyman S. Systematic review of patient-reported outcome measures in patients with varicose veins. British Journal of Surgery. 2017; 104(11), 1424–1432. DOI: 10.1002/bjs.10639
73. US Department of Health and Human Services Food and Drug Administration. Guidance for industry: patientreportedoutcome measures: use in medical product of development to support labeling claims, www.fda.gov
74. Ulloa JH, Castrillón M VA, Barrera JG, García V JF, guías para el tratamiento de insuficiencia venosa superficial asociación colombiana de cirugía vascular y angiología. Rev Latinoam Cir Vascular Angiol. 2018: S1.
75. Calidad de vida en salud en pacientes con insuficiencia venosa mixta luego de varicosafenectomia, JA Sánchez Monroy. Universidad del Rosario. 2012. http://repository.urosario.edu.co/handle/10336/3629.
76. Rabe E, Pannier F. Societal costs of chronic venous disease in CEAP C4, C5, C6 disease. Phlebology: The Journal of Venous Disease. 2010 25 (S1), 64–67. DOI: 10.1258/phleb.2010.010s09
77. Jaramillo-Vergara V, Carrasco-Uruchima P. Calidad de vida en personas con diagnóstico de insuficiencia venosa crónica que se encuentran en espera de cirugía venosa en el Hospital Eugenio Espejo en el año 2015. Repositorio digital Universidad central del Ecuador. 2017. http://www.dspace.uce.edu.ec/handle/25000/10588.
78. Rosas FMA, Serrano LJA, Henestrosa PK, et al. Calidad de vida en pacientes con insuficiencia venosa crónica. Cir Gen. 2006;28(3):153-159.
dc.rights.none.fl_str_mv info:eu-repo/semantics/closedAccess
info:eu-repo/semantics/closedAccess
info:eu-repo/semantics/closedAccess
info:eu-repo/semantics/closedAccess
http://purl.org/coar/access_right/c_14cb
eu_rights_str_mv closedAccess
rights_invalid_str_mv http://purl.org/coar/access_right/c_14cb
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Facultad de Ciencias para la Salud
Manizales
Especialización en Cirugía General
publisher.none.fl_str_mv Facultad de Ciencias para la Salud
Manizales
Especialización en Cirugía General
institution Universidad de Caldas
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1836145014727507968
spelling Impacto en la calidad de vida en pacientes con enfermedad venosa de miembros inferiores posterior a safenovaricectomíaEnfermedadesVenasCalidad de vidaInsuficiencia venosaCirugíaVena safenaVárices.Ilustraciones, gráficasspa:Introducción: La enfermedad venosa crónica es una entidad ampliamente prevalente con diversas manifestaciones clínicas. La safenectomía es uno de los métodos para el manejo en los miembros inferiores. Es innegable la relación esta con la alteración de la calidad de vida en términos de salud por lo que es importante para evaluar desenlaces. Métodos y objetivo: Se realizó un estudio observacional, descriptivo, prospectivo en pacientes con enfermedad venosa sometidos a safenovaricectomía en un periodo de 6 meses, determinando el impacto de esta sobre la calidad de vida de los pacientes a través de la aplicación de una encuesta de evolución de los síntomas aplicada en el preoperatorio y durante 3 valoraciones posteriores. Resultados: 123 pacientes fueron evaluados, con edad media de 57 años. 81,3% fueron mujeres. 73,2% tenían antecedente familiar de enfermedad venosa. El síntoma más frecuente fue el dolor en un 80%. A los 7 días posquirúrgicos existió una disminución de un 78% para la pesadez y las palpitaciones, 76% en edema, 75% prurito y un 60.5% dolor. Al mes postoperatorio, dejaron hubo una reducción de síntomas un 84% para la pesadez, 80% prurito, palpitación 72%, edema 60% y el dolor 45%. Existe una mejoría de todos los síntomas a través del tiempo de seguimiento (p= 0.005). La adherencia a la elastocompresión postoperatoria alcanzo un 89%. Conclusiones: La safenectomía se relaciona con una importante mejoría de la calidad de vida de los pacientes evaluando los síntomas y permanece a través del tiempo. Hubo excelente adherencia a la elastocompresión postquirúrgica.eng:Background: Chronic venous disease is a widely prevalent entity with various clinical manifestations. Saphenectomy is one of the methods most utilizated for managing the lower limbs. The relationship between this and the alteration of quality of life in terms of health is undeniable, which is why it is important to evaluate outcomes in this population. Methods and objectives: An observational, descriptive, prospective study was carried out in patients with venous disease undergoing saphenovaricectomy in a period of six months, determining the impact of this on the quality of life of patients through the application of a survey of evolution of the symptoms applied in the preoperative period and during three subsequent assessments. Results: 123 patients were evaluated, with a mean age of 57 years. 81.3% were women. 73.2% had a family history of venous disease. The most frequent symptom was pain in 80%. At seven postoperative days, there was a 78% decrease in heaviness and palpitations, 76% in edema, 75% pruritus, and 60.5% pain. One month after surgery, they left there was a reduction in symptoms of 84% for 7 heaviness, 80% pruritus, 72% palpitation, 60% edema and 45% pain. There is an improvement of all symptoms throughout the follow-up time (p= 0.005). Adherence to postoperative elastocompression reached 89%. Conclusions: The saphenectomy is related to a significant improvement in the quality of life of patients evaluating the symptoms and remains over time. There was excellent adherence to the postsurgical elastocompression.CONTENIDO 1. RESUMEN / 2. INTRODUCCION / 3. METODOLOGIA / 4. MARCO TEORICO/ 5. RESULTADOS / 5.1 Características sociodemográficas / 5.2 Antecedentes personales / 5.3 Uso de medias de compresión / 5.4 Distribución de síntomas en la valoración pre quirúrgica / 5.5 Distribución de síntomas en la valoración a los 7 días posquirúrgicos / 5.6 Distribución de síntomas en la valoración al mes posquirúrgico / 5.7 Distribución de síntomas en la valoración a los tres meses posquirúrgicos 33 5.8 Comportamiento de los síntomas pre y post quirúrgicos que sugieran estado de la calidad de vida según la presencia de los mismos. / 5.9 Análisis Bivariado / 6. DISCUSION / 7. LIMITACIONES DEL ESTUDIO / 8. CONCLUSIONES / 9. REFERENCIAS BIBLIOGRAFICAS / ANEXOS .EspecializaciónEspecialista en Cirugía GeneralFacultad de Ciencias para la SaludManizalesEspecialización en Cirugía GeneralGomez, CarlosGrupo de Gastroenterología Clínico Quirúrgica de Caldas (Categoría C)Romero, RamiroGomez, Carlos2022-04-20T18:57:29Z2022-04-20T18:57:29Z2022-04-20Trabajo de grado - Especializaciónhttp://purl.org/coar/resource_type/c_7a1fTextinfo:eu-repo/semantics/bachelorThesishttps://purl.org/redcol/resource_type/TPhttp://purl.org/coar/version/c_b1a7d7d4d402bcceapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://repositorio.ucaldas.edu.co/handle/ucaldas/17563Universidad de CaldasRepositorio de la Universidad de Caldashttps://repositorio.ucaldas.edu.coengspa1. Bergan JJ, Bunke-Paquette N. Vein Book. 2a. ed. Oxford. Oxford University Press.2014; Chapter 1.2. Bergan JJ, Bunke-Paquette N. Vein Book. Second edition. Oxford. Oxford University Press; 2014. Chapter 3.3. Cronenwett J, Johnston K.W, Rutherford R. Rutherfords´s Vascular Surgery .Chronic Venous Disorders: General Considerations. Ninth Edition. Philadelphia. 2019; Chapter 554. Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D. The epidemiology of chronic venous insufficiency and varicose vein.s. Ann Epidemiol. 2005; 15:175–184. DOI: 10.1016/j.annepidem.2004.05.0155. Eberhardt R, Raffetto JD. Chronic Venous Insufficiency. Circulation. 2014; 130(4): 333-346. DOI: 10.1161/CIRCULATIONAHA.113.0068986. Dimakakos, E., Syrigos, K., Scliros, E. Karaitianos, I. Prevalence, risk and aggravating factors of chronic venous disease: an epidemiological survey of the general population of Greece. Phlebology, 2013; 28(4), 184–190. DOI: 10.1258/phleb.2011.0111437. Khan, A. Chaudhri, R., Ashraf M. Mazaffar M S. Zawar-ul-Imam S, Tanveer M. Prevalence and presentation of chronic venous disease in Pakistan: a multicentre study. Phlebology, 2013;28 (2), 74–79. DOI: 10.1258/phleb.2012.0111228. Rabe E, et al: The VCP Coordinators: Epidemiology of chronic venous disorders in geographically diverse populations: results from the Vein Consult Program. Int Angiol. 2012; 31:105–115. PMID: 22466974.9. Brand FN, Dannenberg AL, Abbott RD, Kannel WB. The epidemiology of varicose veins: the Framingham Study. Am J Prev Med. 1988;4:96–101. PMID: 339549610. Fowkes FG, Evans CJ, Lee AJ. Prevalence and risk factors for chronic venous insufficiency. Angiology. 2001;52:S5–S15. DOI: 10.1177/0003319701052001S0211. Rial Horcajo R, Serrano FJ. Moñux Ducajú G. Reina T. Martín A. Enfermedad venosa crónica. Conceptos actuales y avances terapéuticos. Medicine. 2017;12(41), 2448–2457. DOI: 10.1016/j.med.2017.09.013.12. Vlajinac, HD, Radak, ÐJ, Marinković JM, Maksimović MŽ. Risk factors for chronic venous disease. Phlebology: The Journal of Venous Disease; 27(8), 416–422. DOI: 10.1258/phleb.2011.01109113. Abbad CM, Horcajo RR, Ballesteros-Ortega MD. Guía de práctica clínica en enfermedad venosa crónica del Capítulo de Flebología y Linfología de la Sociedad Española de Angiología y Cirugía Vascular. Angiología. 2015; 68 (1):55-62. DOI: 10.1016/j.angio.2015.09.01114. Carrasco OF, Ranero A, Hong E, Vidrio H. Endothelial function impairment in chronic venous insufficiency: effect of some cardiovascular protectant agents. Angiology. 2010; 60(6):763-71. DOI: 10.1177/000331970933210815. Davis HA, Lim CS, Natural history and progression of primary chronic venous disorder. Journal Of Vascular Surgery. 2010; 52(14).16. Nicolaides A, Kakkos S, Baekgaard N. Management of chronic venous disorders of the lower limbs. Guidelines According to Scientific Evidence. Part I.Int Angiol. 2018; 37(3):181-254. DOI: 10.23736/S0392-9590.18.03999-817. Killewich LA, Bedford GR, Beach KW, Strandness DE Jr. Spontaneous lysis of deep venous thrombi: rate and outcome. J Vasc Surg 1989;9:89-97. PMID: 291114618. Sansilvestri-Morel P, Rupin A, Jaisson S, Fabiani JN, Verbeuren TJ, Vanhoutte PM. Synthesis of collagen is dysregulated in cultured fibroblasts derived from skin of subjects with varicose veins as it is in venous smooth muscle cells. Circulation DOI: 10.1161/01.cir.0000022846.22923.4619. Bergan JJ, Schmid-Schonbein GW, Smith PD, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med 2006;355:488-98. DOI: 10.1056/NEJMra05528920. Leu AJ, Leu HJ, Franzeck UK, Bollinger A. Microvascular changes in chronic venous insuficiency-a review. Cardiovasc Surg. 1995;3(3):237-45. DOI: 10.1016/0967-2109(95)93871-l21. Pappas PJ, Durán WN, Hobson RW. Pathology and cellular physiology of chronic venous insufficiency. In: , Gloviczki P, Yao JS, eds. Handbook of Venous Disorders, 2nd Edition. New York, NY: Arnold Publisher; 2001:5867.22. Lake M, Pratt GH, Wright IS. Arteriosclerosis and varicose veins: Occupational activities and other factors. JAMA. 1942;119:696–701.23. Bobek K, Cajzl L, Cepelak V, Slaisova V, Opatzny K, Barcal R. A study of the frequency of venous diseases and influence of some etiologic factors. Phlebologie. 1966;19:217–230.24. Mekky S, Schilling RSF, Walford J. Varicose veins in women cottonworkers. An epidemiological study in England and Egypt. BMJ. 1969;2:591–595. DOI: 10.1136/bmj.2.5657.59125. Malhotra SL. An epidemiological study of varicose veins in Indian railroad workers from the South and North of India, with special reference to the causation and prevention of varicose veins. Int J Epidemiol. 1972;1:177– 183. DOI: 10.1093/ije/1.2.17726. Coon WW, Willis PW, Keller JB. Venous thromboembolism and other venous disease in the Tecumseh Community Health Study. Circulation.1973;48:839846. DOI: 10.1161/01.cir.48.4.83927. Da Silva A, Widmer LK, Martin H, Mall T, Glaus L, Schneider M. Varicose veins and chronic venous insufficiency: Prevalence and risk factors in 4376 subjects of the Basle Study II. Vasa. 1974;3:118–125. PMID: 483153328. Beaglehole R, Prior IAM, Salmond CE, Davidson F. Varicose veins in the south pacific. Int J Epidemiol. 1975; 4:295–299. DOI: 10.1093/ije/4.4.29529. Abramson JH, Hopp C, Epstein LM. The epidemiology of varicose veins. A survey in western Jerusalem. J Epidemiol Community Health. 1981; 35:213217. doi: 10.1136/jech.35.3.21330. Maffei FHA, Magaldi C, Pinho SZ, Lastoria S, Pinho W, Yoshida WB, et al. Varicose veins and chronic venous insufficiency in Brazil: Prevalence among 1755 inhabitants of a country town. Int J Epidemiol. 1986; 15:210217. DOI: 10.1093/ije/15.2.21031. Laurikka J, Sisto T, Auvinen O, Tarkka M, Laara E, Hakoma M. Varicose veins in a Finnish population aged 40–60. J Epidemiol Community Health. 1993;47:355–357. DOI: 10.1136/jech.47.5.35532. Sisto T, Reunanen A, Laurikka J, Impivaara O, Heliovaara M, Knekt P, et al. Prevalence and risk factors of varicose veins in lower extremities: MiniFinland Health Survey. Eur J Surg. 1995;161:405–414. PMID: 7548376.33. Evans CJ, Fowkes FGR, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53:149–153. DOI: 10.1136/jech.53.3.14934. Criqui MH, Jamosmos M, Fronek A, Denenberg JO, Langer RD, Bergan J, et al. Chronic venous disease in an ethnically diverse population. Am J. J Epidemiol. 2003 Sep 1;158(5):448-56. doi: 10.1093/aje/kwg166.35. Gujja, K., Sanina, C., & Wiley, J. M. Chronic Venous Insufficiency. Interventional Cardiology. 2016; 759–767. DOI: 10.1016/j.iccl.2014.07.00136. Noel AA, Gloviczki P, Cherry KJ, Rooke TW, Stanson AW, Driscoll DJ. Surgical treatment of venous malformations in Klippel-Trénaunay syndrome. J Vasc Surg. 2000;32:840–847. DOI: 10.1067/mva.2000.11034337. Porter JM, Moneta GL. Reporting standards in venous disease: an updateInternational Consensus Committee on Chronic Venous Disease. J Vasc Surg. 1995;21:635–645. DOI: 10.1016/s0741-5214(95)70195-838. Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, et al. American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40:1248-52. DOI: 10.1016/j.jvs.2004.09.02739. Lurie F, Passman M, Meisner M, Dalsing M. The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. 2020 May;8(3):342-35. DOI: 10.1016/j.jvsv.2019.12.07540. Rutherford RB, Padberg FT, Comerota AJ, Kistner RL, Meissner MH, Moneta GL. Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg. 2000;31:1307–1312. DOI: 10.1067/mva.2000.10709441. Gloviczki P, Comerota AJ, Dalsing MC, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011;53(5):2S-48S. DOI: 10.1016/j.jvs.2011.01.07942. White JV, Ryjewski C. Chronic venous insufficiency. Perspect Vasc Surg Endovasc Ther. 2005;17(4):319-27. DOI: 10.1177/15310035050170040643. Carman TL, Al-Omari A. Evaluation and Management of Chronic Venous Disease Using the Foundation of CEAP. Current Cardiology Reports. 2019; 21(10). DOI: 10.1007/s11886-019-1201-144. Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. The Korean Journal of Internal Medicine. 2019. 34(2), 269–283. DOI: 10.3904/kjim.2018.23045. Criado E, Farber MA, Marston WA, Daniel PF, Burnham CB, Keagy BA. The role of air plethysmography in the diagnosis of chronic venous insufficiency. J Vasc Surg 1998;27:660-670. DOI: 10.1016/s0741-5214(98)70231-946. Garcia R, Labropoulos N. Duplex Ultrasound for the Diagnosis of Acute and Chronic Venous Diseases. Surgical Clinics of North America. 2018 98(2), 201–218. DOI: 10.1016/j.suc.2017.11.00747. Meissner MH, Moneta G, Burnand K, et al. The hemodynamics and diagnosis of disease. DOI: 10.1016/j.jvs.2007.09.04348. Neglén P, Egger JF III, Olivier J, Raju S. Hemodynamic and clinical impact of ultrasound-derived venous reflux parameters. J Vasc Surg. 2004;40:303310. DOI: 10.1016/j.jvs.2004.05.00949. Danielsson G, Arfvidsson B, Eklof B, et al. Reflux from thigh to calf, the major pathology in chronic venous ulcer disease: surgery indicated in the majority of patients. Vasc Endovascular Surg 2004;38(3):209–19. DOI: 10.1177/15385744040380030350. Motykie GD, Caprini JA, Arcelus JI, Reyna JJ, Overom E, Mokhtee D. Evaluation of therapeutic compression stockings in the treatment of chronic venous insufficiency. Dermatol Surg. 1999;25:116–120. doi: 10.1046/j.15244725.1999.08095.x51. Mayberry JC, Moneta GL, Taylor LM Jr, Porter JM. Fifteen-year results of ambulatory compression therapy for chronic venous ulcers. Surgery. 1991;109:575–581. PMID: 202090252. O’Donnell T, Passman MA, Marston WA, Ennis W, Dalsing M, Kistner RL, Gloviczki P. Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. Journal of Vascular Surgery. 2014; 60(2), 3S–59S. DOI: 10.1016/j.jvs.2014.04.04953. O’Meara S, Cullum N, Nelson EA, Dumville JC.Compression for venous leg ulcers. Cochrane Database of Systematic Reviews. 2012. DOI: 10.1002/14651858.CD000265.pub354. Martinez‐Zapata MJ, Vernooij RWM, Uriona Tuma SM, Stein AT, Moreno RM, Vargas E, Capellà D, Bonfill Cosp X. Phlebotonics for venous insufficiency. Cochrane Database of Systematic Reviews. 2016, Issue 4. PMCID: PMC7173720 DOI: 10.1002/14651858.CD003229.pub355. Padberg FT, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. Journal of Vascular Surgery. 2004; 39(1), 7987. DOI: 10.1016/j.jvs.2003.09.03656. Scultetus AH, Villavicencio JL, Kao TC, Gillespie DL, Ketron GD, Iafrati MD, Pikoulis E, Eifert S. Microthrombectomy reduces postsclerotherapy pigmentation: multicenter randomized trial. J Vasc Surg. 2003;38:896–903. DOI: 10.1016/s0741-5214(03)00920-057. Nesbitt C, Bedenis R, Bhattacharya V, Stansby G. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices. Cochrane Database of Systematic Reviews. 2014. DOI: 10.1002/14651858.CD005624.pub358. MacKenzie RK, Allan PL, Ruckley CV, Bradbury AW. The effect of long saphenous vein stripping on deep venous reflux. Eur J Vasc Endovasc Surg. 2004;28:104–107. DOI: 10.1016/j.ejvs.2004.03.00959. Barwell JR, Davies E, Deacon J, Harvey K., Minor J, Sassano A. et al. . Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. The Lancet. 2004; 363(9424), 1854–1859. DOI: 10.1016/S0140-6736(04)16353-860. Rasmussen LH, Lawaetz M, Bjoern L, Vennits B, Blemings A, Eklof B. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose DOI: 10.1002/bjs.755561. Bellmunt-Montoya S, Escribano JM, Dilme J, Martínez-Zapata MJ. CHIVA methodfor the treatment of chronic venous insufficiency. Cochrane Database Syst Rev.2015;(6):CD009648. DOI: 10.1002/14651858.CD009648.pub262. Shumaker S, Naughton M. The International Assessment of Health-Related Quality of Life: a theoretical perspective. En: Shumaker S, Berson R, editors. The international assessment of health-related quality of life: theory, translation, measurement and analysis. Oxford: Rapid Communications, 1995.63. Kurz X, Lamping DL, Kahn SR, et al. Do varicose veins affect quality of life? Results of an international population-based study. Journal of Vascular Surgery 2001; 34: 641-648. DOI: 10.1067/mva.2001.11733364. Kaplan R, Criqui M, Denenberg J, Bergan J, Fronek A. Quality of life in patients with chronic venous disease: San Diego population study. Journal of Vascular Surgery 2003; 37: 1047-1053. DOI: 10.1067/mva.2003.16865. Paty J, Turner-Bowker DM, Elash CA, Wright D. The VVSymQ_ instrument: Use of a new patient-reported outcome measure for assessment of varicose vein symptoms. Phlebology DOI: 10.1177/026835551559519366. Launois R, Reboul-Marty J, Henry B, et al. Construction and validation of a quality of life questionnaire in chronic lower limb venous insufficiency (CIVIQ). Qual Life Res 1996; 5: 539–554. DOI: 10.1007/BF0043922867. Lamping DL, Schroter S, Kurz X, et al. Evaluation of outcomes in chronic venous disorders of the leg: developmentof a scientifically rigorous, patientreported measure of symptoms and quality of life. J Vasc Surg 2003; 37: 410419. DOI: 10.1067/mva.2003.15268. Paty J. VVSymQ™ and patient profiles: interpreting a new patient-reported outcome (PRO) instrument for great saphenous vein incompetence (GSVI). J Interv Radiol 2014; 25(3): S101. 216. DOI: Vasc 10.1016/j.jvir.2013.12.28369. Todd KL, Wright DI and the VANISH-2 Investigators. The VANISH-2 study: a randomized, blinded, multicenter study to evaluate the efficacy and safety of polidocanol endovenous microfoam 0.5% and 1.0% compared with placebo for the treatment of saphenofemoral junction incompetence. Phlebology 2014; 29: 608–618. DOI: 10.1177/026835551349770970. VANISH-1: Phase III Study of Polidocanol Endovenous Microfoam on the Appearance of Varicose Veins. Podium presentation by Theodore King, Am Coll Phlebology, 2012.71. Paty J. Elash C, Turner-Bowker D. Content Validity for the VVSymQ Instrument: A New Patient-Reported Outcome Measure for the Assessment of Veins Symptoms Jean. Patient.2017; 10:51–63. DOI: 10.1007/s40271-016-0183-y72. Aber A, Poku E, Phillips P, Essat M, Buckley-Woods H, Palfreyman S. Systematic review of patient-reported outcome measures in patients with varicose veins. British Journal of Surgery. 2017; 104(11), 1424–1432. DOI: 10.1002/bjs.1063973. US Department of Health and Human Services Food and Drug Administration. Guidance for industry: patientreportedoutcome measures: use in medical product of development to support labeling claims, www.fda.gov74. Ulloa JH, Castrillón M VA, Barrera JG, García V JF, guías para el tratamiento de insuficiencia venosa superficial asociación colombiana de cirugía vascular y angiología. Rev Latinoam Cir Vascular Angiol. 2018: S1.75. Calidad de vida en salud en pacientes con insuficiencia venosa mixta luego de varicosafenectomia, JA Sánchez Monroy. Universidad del Rosario. 2012. http://repository.urosario.edu.co/handle/10336/3629.76. Rabe E, Pannier F. Societal costs of chronic venous disease in CEAP C4, C5, C6 disease. Phlebology: The Journal of Venous Disease. 2010 25 (S1), 64–67. DOI: 10.1258/phleb.2010.010s0977. Jaramillo-Vergara V, Carrasco-Uruchima P. Calidad de vida en personas con diagnóstico de insuficiencia venosa crónica que se encuentran en espera de cirugía venosa en el Hospital Eugenio Espejo en el año 2015. Repositorio digital Universidad central del Ecuador. 2017. http://www.dspace.uce.edu.ec/handle/25000/10588.78. Rosas FMA, Serrano LJA, Henestrosa PK, et al. Calidad de vida en pacientes con insuficiencia venosa crónica. Cir Gen. 2006;28(3):153-159.info:eu-repo/semantics/closedAccessinfo:eu-repo/semantics/closedAccessinfo:eu-repo/semantics/closedAccessinfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cboai:repositorio.ucaldas.edu.co:ucaldas/175632024-07-16T21:39:41Z

Publicaciones similares