Comparison of Endovenous Treatment with an 810 nm Laser versus Conventional Stripping of the Great Saphenous Vein in Patients with Primary Varicose Veins

Medeiros, Charles Angotti Furtado de; Luccas, George Carchedi

doi:10.1097/00042728-200512000-00009

Cited by 28 publications

(31 citation statements)

References 40 publications

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“…The other endoluminal technique, EVL, can only be used for superficial venous reflux disease and cannot be used safely for perforator venous reflux disease. EVL has not been studied as thoroughly as RFA in comparing the endoluminal technique with open surgery [48,49]. The longest follow-up with clinical results after EVL has been 2 years, whereas detailed results are available at 5-year follow-up for RFA.…”

Section: Comparison Of Endoluminal Techniquesmentioning

confidence: 99%

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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Section: Comparison Of Endoluminal Techniquesmentioning

confidence: 99%

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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“…In studies comparing RFA and HL/S methods RFA method has been reported to have significant advantages (10)(11)(12). In a study comparing HL/S and EVLA methods, EVLA was reported to result with less edema and blisters but no other significant differences found between (13). In comparison of foam sclerotherapy to HL/S, HL/S procedure was reported to be superior (14).…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Endovenous Laser Ablation over Conventional Surgery of Varicose Veins of Lower Limbs

2015

IJSR

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Endovenous laser ablation (EVLA) of the great saphenous vein (GSV) is thought to minimize postoperative morbidity and reduce work loss compared with high ligation and stripping (HL/S). Patients with varicose veins due to GSV insufficiency were randomized to either EVLA (980 nm) or HL/S in tumescent anesthesia. In our clinics, 50 varicosis patients were treated between August 2013 and September 2015. EVLA was applied in 25 cases and HL/S was applied in 25cases. Clinical features and demographic characteristics of the patients were summarized. EVLA procedure was done by 980 nm diode laser (Ceralas D 980, Biolitec) at continues mode with 15 W energy. Patient visits were done at post-operative 10th day, 6th month, 1st year and 2nd year. Routine physical examination and Doppler USG assessments were performed at these visits. EVLA and HL/S procedures were done in complete success in all cases at both groups. All cases were invited for control visits. When complications developed after procedures were evaluated; no infection, hematoma or parenthesis were observed in EVLA group. However in HL/S group; infections, hematomas and parenthesis were observed in 6,4 and 2 cases respectively. In terms of treatment success, there was no recurrence in EVLA procedure while recurrence rate after conventional surgery found in 3 cases. In terms of post-op complication, EVLA method was associated with significantly less parenthesis, hematoma and pain. EVLA method is a method as effective and safe as standard treatment. However, when a long term result of this method is shown completely, its effectiveness will be cleared and its clinical utility will be established.

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“…Quando há comprometimento importante da veia safena, interna ou externa, a fleboextração do segmento acometido permanece sendo o tratamento de escolha [17][18][19][20][21][22][23] . Mais recentemente, a fotocoagulação da veia safena com o laser endovenoso aparece como uma alternativa menos invasiva do que a fleboextração convencional [24][25][26][27][28][29][30] .…”

Section: Discussionunclassified

Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato

Gaspar

Medeiros

2006

J. vasc. bras.

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53 ResumoObjetivos: A escleroterapia por método químico é o tratamento mais tradicional para eliminar as telangiectasias. Há varias décadas, é realizada em consultório, mas com alto índice de abandono devido ao seu caráter prolongado, doloroso e, por isso, pouco eficaz. Uma grande proporção destes pacientes apresenta também insuficiência de tributárias, ou seja, veias varicosas com indicação de fleboextração e que serão submetidas à cirurgia. O objetivo deste trabalho é descrever a opção de tratamento combinado da cirurgia de varizes com a escleroterapia das telangiectasias no mesmo ato.Métodos: De janeiro de 1998 a março de 2002, 213 pacientes (426 membros inferiores) foram submetidos ao tratamento das telangiectasias por meio de injeção de glicose hipertônica durante a cirurgia de varizes.Resultados: Mais de 90% dos pacientes relataram altos índices de satisfação estética. A escleroterapia complementar foi necessária em 165 pacientes, para atingir plena satisfação estética durante o seguimento. Não foram constatados casos de tromboflebites superficiais, nem de trombose venosa profunda. Também não houve relatos de complicações graves. Em 10% dos casos, foram necessárias pequenas drenagens de microtrombos residuais. O índice de manchas hipercrômicas não ultrapassou 3%. Apenas um paciente desenvolveu uma pequena úlcera no dorso do pé (0,2%), que cicatrizou espontaneamente.Conclusões: O tratamento combinado da cirurgia de varizes com a escleroterapia das telangiectasias dos membros inferiores é uma alternativa para os pacientes que desejam um resultado mais rápido e indolor. As sessões múltiplas com injeção de glicose hipertônica são uma opção segura e eficaz.Palavras-chave: Cirurgia ambulatorial, escleroterapia, insuficiên-cia venosa, varizes. AbstractObjectives: Chemical sclerotherapy is the most traditional treatment to eliminate telangiectasias. For several decades, it has been carried out in the office, although it has a high index of treatment dropout for being a painful, long and, therefore, little efficient treatment. Most of these patients also present insufficient varicose veins, which require phlebectomy and are candidates for surgery. The aim of this paper is to describe the combined treatment including varicose vein surgery and sclerotherapy for telangiectasias at the same procedure.Methods: From January 1998 to March 2002, 213 patients (426 lower limbs) with telangiectasias were treated by means of hypertonic glucose infusion during the varicose vein surgery.Results: More than 90% of the patients reported high indices of aesthetic satisfaction. The complementary sclerotherapy was necessary in 165 patients to have full aesthetic satisfaction during follow-up. Any cases of superficial thrombophlebitis or of deep venous thrombosis were reported. There were no serious complications either. In 10% of cases, small drainage of residual microthrombus was necessary. The index of hyperchromic spots did not exceed 3%. Only one patient developed a small ulcer in the back of the foot (0.2%), which spontaneously h...

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Comparison of Endovenous Treatment with an 810 nm Laser versus Conventional Stripping of the Great Saphenous Vein in Patients with Primary Varicose Veins

Cited by 28 publications

References 40 publications

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Comparative Study of Endovenous Laser Ablation over Conventional Surgery of Varicose Veins of Lower Limbs

Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato

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