• Rev Assoc Med Bras (1992) · Jan 2022

    Varicose Vein Stripping in 66,577 patients in 11 years in public hospitals in São Paulo.

    • Marcelo Fiorelli Alexandrino da Silva, Andressa Cristina Sposato Louzada, Marcelo Passos Teivelis, Dafne Braga Diamante Leiderman, Maria Fernanda Cassino Portugal, Nickolas Stabellini, Amaro JuniorEdsonE0000-0002-5889-1382Hospital Israelita Albert Einstein - São Paulo (SP), Brasil.Univerisdade de São Paulo, Medical School - São Paulo (SP), Brasil., and Nelson Wolosker.
    • Hospital Israelita Albert Einstein - São Paulo (SP), Brasil.
    • Rev Assoc Med Bras (1992). 2022 Jan 1; 68 (12): 165716621657-1662.

    ObjectivesThe aim of this study was to evaluate the epidemiology of varicose vein stripping in Brazil's largest city, São Paulo.MethodsOpen and anonymous data regarding varicose vein surgeries between 2008 and 2018 were evaluated from the TabNet platform of the Municipal Health Secretary of São Paulo, Brazil.ResultsMost patients were female and adults. A total of 66,577 varicose vein surgeries were performed in public hospitals and outpatient clinics in São Paulo, with a statistically significant increase for both unilateral (p=0.003) and bilateral (p<0.001) procedures. Since 2016, unilateral procedures have been performed more frequently than bilateral procedures. Most procedures were associated with same-day (54.8%) or next-day (32%) discharge. The in-hospital mortality rate was 0.0045%. The total amount reimbursed was $20,693,437.94, corresponding to a mean value of $310.82 per procedure.ConclusionSurgeries to treat chronic vein disease totaled 66,577 in 11 years, demanding $20,693,437.94 from the public health system. The majority of treated patients were female, over 40 years of age, and local residents. Procedure rates have increased over the years. The in-hospital mortality rate was very low (0.0045%).

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