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A Systematic Review and Meta-analysis of Concomitant Truncal and Perforator Surgery by Aoife Kiernan; Brian Fahey; Fiona Boland; Thomas Aherne is a Medicine article available to read on EtoBox.

What is A Systematic Review and Meta-analysis of Concomitant Truncal and Perforator Surgery about?

Objective Incompetent perforator veins are encountered frequently during ultrasound assessment of the venous system in chronic venous disease. Some studies have shown that concomitant treatment of truncal and perforator incompetence improves ulcer healing, yet a Cochrane review was unable to determine the potential benefits of perforator surgery in venous ulcer management due to poor quality evidence. This study aims to establish the exact role of concomitant treatment in patients with chronic venous disease. Methods A search of online databases including MEDLINE, Embase, and Cochrane was performed in March 2022. All studies comparing the outcomes of concomitant superficial venous plus perforator surgery with standard therapy were included. Variables assessed included ulcer healing, time to healing, and ulcer recurrence. Disease severity and quality of life, vein occlusion rates, number of incompetent perforator veins on duplex ultrasound post treatment, and reintervention and complication rates were also analyzed. Data were pooled using a random effects model. Results Seven studies (872 limbs) were included for analysis. Included studies were of reasonable methodological quality.

Who reads A Systematic Review and Meta-analysis of Concomitant Truncal and Perforator Surgery?

Author

Aoife Kiernan; Brian Fahey; Fiona Boland; Thomas Aherne

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)