Isolated Great Saphenous Vein Stripping for Treatment of Varicose Veins in Lower Limbs

Clinical Outcomes and Quality of Life Analysis After Concomitant or Sequential Varicose Vein Resection Following Great Saphenous Vein Stripping in Patients With Lower Limb Varicose Veins

The goal of this clinical trial is to compare two surgical approaches for treating varicose veins in the lower limbs in adults: performing varicose vein removal at the same time as great saphenous vein stripping (concomitant) versus performing great saphenous vein treatment alone.

The main questions it aims to answer are:

• Do clinical outcomes differ between these approaches?
• Does quality of life improve differently depending on which surgical approach is used?

Participants will:

• Undergo great saphenous vein stripping for lower limb varicose veins with or without simultaneous varicose vein ressection
• Be assigned to have varicose vein resection either at the same time or in a subsequent procedure
• Complete quality of life assessments before and after surgery

Inclusion Criteria:

• Age between 18 and 70 years
• Varicose veins of the lower limbs with great saphenous vein insufficiency and surgical indication (CEAP C2-C6)
• Signed informed consent

Exclusion Criteria:

• Concomitant small saphenous vein insufficiency in the treated limb
• Previous deep vein thrombosis in the treated limb
• Previous deep venous insufficiency in the treated limb
• Previous varicose vein surgery
• Previous venous interventions (e.g. foam sclerotherapy)
• Comorbidity or condition that impairs postoperative assessment (e.g. orthopedic diseases of the lower limbs)