Authors

• Damir Halužan — Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska — ORCID: 0000-0002-8587-8351
• Irena Šnajdar — Klinički bolnički centar Zagreb, Zagreb, Hrvatska — ORCID: 0000-0002-4429-1095
• Andrea Crkvenac Gregorek — Klinički bolnički centar Zagreb, Zagreb, Hrvatska — ORCID: 0000-0002-7790-1347

Abstract

**Introduction:** Chronic venous insufficiency represents a major public health problem with a prevalence of 5-30%. (1) Significant number of interventions in vascular surgery are varicose vein operations that are increasingly being performed in one-day surgery due to the development of surgical and anaesthetic procedures. **Methods and results**: We present protocol, essential features of Doppler diagnostic for planning the operations and results of a retrospective analysis of 482 patients operated from April 2014 to October 2018 at the One-Day Surgery Department of University Hospital Centre Zagreb. All patients were operated in local or locally potentiated anaesthesia. In addition to the classic surgical method since April 2018, we also perform endovascular laser ablation. Abiding the protocols of one day surgery, patient selection and detailed postoperative instructions contribute to the safety of operated patients within one-day surgery, this results in a small number of postoperative complications and minimum number of admissions to the hospital. Shorter waiting times, fixed date of operation and going home the same day increases patient’s satisfaction. **Conclusion:** Varicose vein operations within one-day surgery are a reliable and safe method with a small number of complications, thus freeing the space in hospital for patients with arterial diseases.

Keywords

chronic venous insufficiency, surgical treatment

DOI

Literature

1. Beebe-Dimmer JLPfeifer JR, Engle JS, Schottenfeld D. The epidemiology of chronic venous insufficiency and varicose veins. Ann Epidemiol. 2005 Mar;15(3):175–84. https://doi.org/10.1016/j.annepidem.2004.05.015