Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation
| Autor: | Elisabeth A. Roovers, Lizel Flinkenflögel, Steven M.M. van Sterkenburg, Michel M.P.J. Reijnen, Laura van Groenendael, J. Adam van der Vliet |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Varicose Veins Patient satisfaction Recurrence Surveys and Questionnaires Varicose veins medicine Humans Surgical Wound Infection Saphenous Vein Paresthesia Aged Pain Measurement Retrospective Studies Analgesics Pain Postoperative Ultrasonography Doppler Duplex Varix Cardiovascular diseases [NCEBP 14] Vascular disease business.industry Great saphenous vein Perioperative Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome Patient Satisfaction Feasibility Studies Female Laser Therapy Sick Leave medicine.symptom Cardiology and Cardiovascular Medicine Complication business Varices Vascular Surgical Procedures |
| Zdroj: | Journal of Vascular Surgery, 50, 5, pp. 1106-13 Journal of Vascular Surgery, 50, 1106-13 |
| ISSN: | 0741-5214 |
| Popis: | Contains fulltext : 81067.pdf (Publisher’s version ) (Closed access) OBJECTIVE: Varicose vein recurrence of the great saphenous vein (GSV) is a common, costly, and complex problem. The aim of the study was to assess feasibility of endovenous laser ablation (EVLA) in recurrent varicose veins of the GSV and to compare this technique with conventional surgical reintervention. METHODS: Case files of all patients treated for GSV varicosities were evaluated and recurrences selected. Demographics, duplex scan findings, CEAP classification, perioperative data, and follow-up examinations were all registered. A questionnaire focusing on patient satisfaction was administered. RESULTS: Sixty-seven limbs were treated with EVLA and 149 were surgically treated. General and regional anesthesia were used more in the surgery group (P < .001). Most complications were minor and self-limiting. Wound infections (8% vs 0%; P < .05) and parasthesia (27% vs 13%; P < .05) were more abundant in the surgery group, whereas the EVLA-treated patients reported more delayed tightness (17% vs 31%; P < .05). Surgically-treated patients suffered less postoperative pain (P < .05) but reported a higher use of analgesics (P < .05). Hospital stay in the surgery group was longer (P < .05) and they reported a longer delay before resuming work (7 vs 2 days; P < .0001). Patient satisfaction was equally high in both groups. At 25 weeks of follow-up, re-recurrences occurred in 29% of the surgically-treated patients and in 19% of the EVLA-treated patients (P = .511). CONCLUSION: EVLA is feasible in patients with recurrent varicose veins of the GSV. Complication rates are lower and socioeconomic outcome is better compared to surgical reintervention. |
| Databáze: | OpenAIRE |
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