Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1999 May;81(3):171–174.

A prospective randomised trial of PIN versus conventional stripping in varicose vein surgery.

M T Durkin 1, E P Turton 1, D J Scott 1, D C Berridge 1
PMCID: PMC2503177  PMID: 10364948

Abstract

A prospective, randomised trial was carried out to examine the efficacy of perforate invagination (PIN, Credenhill Ltd, Derbyshire, UK) stripping of the long saphenous vein (LSV) in comparison to conventional stripping (Astratech AB, Sweden) in the surgical management of primary varicose veins. Eighty patients with primary varicosities secondary to sapheno-femoral junction (SFJ) incompetence and LSV reflux were recruited. Patients were randomised to PIN or conventional stripping with all other operative techniques remaining constant. Follow-up was performed at 1 and 6 weeks postoperatively. There were no statistically significant differences between the two techniques in terms of time taken to strip the vein, percentage of vein stripped or the area of bruising at 1 week. The size of the exit site was significantly smaller with the PIN device (P < or = 0.01). Optimal use of the conventional stripper provides results comparable to the PIN device. Choice of stripping device remains the surgeon's, bearing in mind that the PIN stripper achieves slightly better cosmesis.

Full text

PDF
173

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Conrad P., Gassner P. Invagination stripping of the long and short saphenous vein using the PIN stripper. Aust N Z J Surg. 1996 Jun;66(6):394–396. doi: 10.1111/j.1445-2197.1996.tb01216.x. [DOI] [PubMed] [Google Scholar]
  2. Munn S. R., Morton J. B., Macbeth W. A., Mcleish A. R. To strip or not to strip the long saphenous vein? A varicose veins trial. Br J Surg. 1981 Jun;68(6):426–428. doi: 10.1002/bjs.1800680621. [DOI] [PubMed] [Google Scholar]
  3. Sarin S., Scurr J. H., Coleridge Smith P. D. Stripping of the long saphenous vein in the treatment of primary varicose veins. Br J Surg. 1994 Oct;81(10):1455–1458. doi: 10.1002/bjs.1800811017. [DOI] [PubMed] [Google Scholar]
  4. Sutton R., Darke S. G. Stripping the long saphenous vein: peroperative retrograde saphenography in patients with and without venous ulceration. Br J Surg. 1986 Apr;73(4):305–307. doi: 10.1002/bjs.1800730419. [DOI] [PubMed] [Google Scholar]
  5. Tisi P. V., Crow A. J., Shearman C. P. Arm vein reconstruction for limb salvage: long-term outcome. Ann R Coll Surg Engl. 1996 Nov;78(6):497–500. [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES