Patient injuries in the treatment of superficial venous insufficiency registered in Finland between 2004 and 2017

Phlebology. 2021 May;36(4):260-267. doi: 10.1177/0268355520964294. Epub 2020 Oct 12.

Abstract

Objectives: This study aimed to identify the unintended incidents that led to patient injuries (PIs) in the treatment of superficial venous insufficiency (SVI).

Methods: PI claims filed with the Finnish Patient Insurance Centre between 2004 and 2017 involving SVI were reviewed. Factors contributing to PI were identified and classified.

Results: Eighteen (13.2%) of 136 compensated PIs in the specialty of vascular surgery were related to SVI. Only 4.7% of 383 SVI claims were compensated. The incidence of PIs was 9.9 per 100 000 patients. Fifteen patients had open surgery (83.3%) and three (16.7%) endovenous treatment. Two (11.1%) patients had necrotising fasciitis, four (22.1%) had deep vein injuries and two (11.1%) had a permanent nerve injury. Two (11.1%) patients had retained endovenous material that required surgical removal.

Conclusions: PIs were identifiable during all stages of care, perioperative injuries related to open surgery being the most common.

Keywords: GSV; SSV; Superficial venous insufficiency; complication; high ligation; injury; laser; stripping; thermal ablation; varicose veins.

MeSH terms

  • Finland / epidemiology
  • Humans
  • Laser Therapy*
  • Saphenous Vein
  • Treatment Outcome
  • Varicose Veins* / surgery
  • Vascular Surgical Procedures
  • Venous Insufficiency* / surgery
  • Venous Insufficiency* / therapy