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Main Author:	Jesús Sánchez-Beorlegui
Format:	Artículo científico
Language:	es
Published:	Asociación Colombiana de Cirugía 2018
Subjects:	Medicina Várices vena safena recurrencia insuficiencia venosa complicaciones posoperatorias
Online Access:	https://www.redalyc.org/articulo.oa?id=355557054007 https://www.redalyc.org/journal/3555/355557054007/ https://www.redalyc.org/journal/3555/355557054007/html/ https://www.redalyc.org/journal/3555/355557054007/355557054007.epub https://www.redalyc.org/journal/3555/355557054007/movil
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Safenectomía corta versus larga en el tratamiento de las várices primarias de los miembros inferiores Jesús Sánchez-Beorlegui Álvaro Arribas Antonio Aspíroz Laura Lamata Félix Lamata Alfredo Jiménez Medicina Várices vena safena recurrencia insuficiencia venosa complicaciones posoperatorias Introducción . El limitar la longitud de la extirpación (stripping) de la vena safena mayor al segmento insuficiente con base en los hallazgos de la ecografía Doppler a color, permite disminuir la morbilidad.Materiales y métodos . Se llevó a cabo un estudio prospectivo y aleatorio de 155 pacientes intervenidos durante 24 meses, de los cuales 74 fueron sometidos a una safenectomía corta y 81 a una safenectomía larga. Las variables evaluadas durante el seguimiento fueron: tipo de anestesia, porcentaje de atención ambulatoria, morbilidad quirúrgica, días de incapacidad temporal y recidivas varicosas. Los síntomas de afectación neurológica ligados a la safenectomía se evaluaron de forma temprana y a largo plazo.Resultados . El 91,6 % de los enfermos fueron intervenidos de forma ambulatoria, con un período de incapacidad temporal menor de tres semanas y 18 % de recidivas. El costo unitario de las intervenciones concertadas con el Sistema Público de Salud fue inferior a USD$ 950. La safenectomía corta tuvo mejores resultados que la larga en casi todos los parámetros estudiados, con menos días de ausencia laboral (18,2 Vs. 22,6; p=0,013), morbilidad (14,9 % Vs. 33,3 %; p=0,036) y secuelas neurológicas a la finalización del estudio (2 % Vs. 11,9 %; p=0,043).Discusión . La safenectomía clásica es una técnica útil, con excelentes resultados clínicos y estéticos, escasas complicaciones y bajo costo. En ausencia de insuficiencia distal del eje safeno, la safenectomía corta es de elección por su menor morbilidad. 2018 artículo científico 2011-7582 https://www.redalyc.org/articulo.oa?id=355557054007 https://www.redalyc.org/journal/3555/355557054007/ https://www.redalyc.org/journal/3555/355557054007/html/ https://www.redalyc.org/journal/3555/355557054007/355557054007.epub https://www.redalyc.org/journal/3555/355557054007/movil 10.30944/20117582.60 es http://www.redalyc.org/revista.oa?id=3555 Revista Colombiana de Cirugía application/pdf Asociación Colombiana de Cirugía Revista Colombiana de Cirugía (Colombia) Num.2 Vol.33

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