Does the direction of tumescent solution delivery matter in endovenous laser ablation of the great saphenous vein?

Kutas, Baris; Ozdemir, Ferit; Tezcan, Orhan; Güneş, Tevfik; Erkoc, Kamuran; Altin, Hüsnü Fırat; Karahan, Oğuz

doi:10.1177/1753944715599729

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Perioperative pain scores and analgesia use noted were similar to VAS scores from other EVLA studies [Gunes et al 2015;Elderman et al 2014], demonstrating that the clinical technique and pain assessment methods are comparable with other studies. The distal to proximal approach (rather than proximal to distal) of injecting perivenous tumescence was used, which has been demonstrated to be optimal for the patient in terms of pain from tumescent injections and number of puncture sites required [Kutas et al 2015]. The findings that the AVVQ scores were reduced in both groups following treatment with EVLA is in concordance with other trials [Rasmussen et al 2007;Van den Bos et al 2009;Rautio, 2002].…”

Section: Discussionsupporting

confidence: 75%

Efficacy of topical local anaesthesia to reduce perioperative pain for endovenous laser ablation of varicose veins: a double-blind randomized controlled trial

Saha

Tiwari

Hunns

et al. 2016

Therapeutic Advances in Cardiovascular Disease

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Section: Discussionsupporting

confidence: 75%

Efficacy of topical local anaesthesia to reduce perioperative pain for endovenous laser ablation of varicose veins: a double-blind randomized controlled trial

Saha

Tiwari

Hunns

et al. 2016

Therapeutic Advances in Cardiovascular Disease

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“…Bệnh nhân trong nghiên cứu có độ tuổi trung bình cao hơn các nghiên cứu khác, kèm theo tỷ lệ nam và nữ mất cân đối (nữ/nam là 16/4), phù hợp với các nghiên cứu khác cũng cho thấy tỷ lệ bệnh nhân nữ trong nghiên cứu luôn chiếm ưu thế [3].…”

Section: Bàn Luận 1 đặC đIểm Lâm Sàng Của Bệnh Nhânunclassified

Bước Đầu Đánh Giá Hiệu Quả Điều Trị Suy Tĩnh Mạch Mạn Tính Bằng Phương Pháp Đốt Laser Nội Mạch

Lê¹,

Cao²,

Nguyễn³

et al. 2022

vjrnm

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Mục tiêu: Đánh giá hiệu quả điều trị suy tĩnh mạch chi dưới bằng phương pháp đốt laser nội mạch tại khoa Chẩn đoánhình ảnh Bệnh viện Bạch Mai.Phương pháp và đối tượng nghiên cứu: Nghiên cứu tiến cứu trên 20 bệnh nhân suy tĩnh mạch chi dưới được điều trị tạikhoa Chẩn đoán hình ảnh bệnh viện Bạch mai từ tháng 8 năm 2016 đến tháng 5 năm 2017.Kết quả: Tỷ lệ gây tắc tĩnh mạch hiển lớn đạt 95,6%, biến chứng nhẹ như bầm tím chiếm 26,1%, đau sau can thiệp ở mứctrung bình 3,4 điểm (theo thang điểm VAS). Điểm VCSS sau can thiệp 1 tháng được cải thiện rõ rệt (trước và sau can thiệp là8,7±3,0 và 1,9±2,6).Kết luận: Đốt laser nội mạch là phương pháp can thiệp tối thiểu, an toàn, cải thiện tốt triệu chứng lâm sàng cho bệnh nhânsau điều trị.

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“…5 A few TLA factors that have previously been investigated include influence of TLA fluid temperature, effect of bicarbonate buffering and effect of antegrade or retrograde TLA fluid delivery. [6][7][8] TLA has its origins in plastic surgery, in liposuction procedures, when large TLA fluid volume is injected to induce tumescence (tissue engorgement with fluid), as reported by Klein in 1985. 9 Endovenous experience with TLA dates back to the early 2000s, with the introduction of thermal ablation procedures into clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A practical approach to tumescent local anaesthesia in ambulatory endovenous thermal ablation

Nyamekye

2018

Phlebology

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Background Thermal ablation, usually performed with tumescent local anaesthesia (TLA), is the preferred method for varicose veins treatment. Tumescent local anaesthesia is always cited; however, little detail of the procedure is presented in publications. This retrospective audit of clinical tumescent local anaesthesia practice aims to provide detailed information on an important aspect of endovenous practice. Methods Patients who underwent three types of endothermal treatment (Venefit, Radiofrequency Induce Thermal Therapy and Endovenous Laser Ablation) to a single saphenous trunk using tumescent local anaesthesia were assessed. Differences in tumescent local anaesthesia volume per unit length of treated vein were assessed for the followings: type of saphenous trunk, length of vein treated, effect of additional phlebectomy and bilateral versus interval unilateral treatment for bilateral veins. Descriptive data are reported as mean and standard deviation, and groups were compared using the one-way ANOVA test. Results Between 2008 and 2014, single-saphenous-trunk ambulatory TLA thermal ablation was performed in 979 patients, mean age was 54 years. A total of 1229 limbs had truncal ablations and synchronous phlebectomy was performed in 470 limbs. No tumescent local anaesthesia-related complications occurred. There was no significant difference in standardised tumescent local anaesthesia volume per centimetre (ml) used for the three devices. Tumescent local anaesthesia volume per centimetre (ml) differed significantly between saphenous trunks. On average, a standard 10-12 ml/cm of tumescent local anaesthesia was used for saphenous trunks. Mean total tumescent local anaesthesia volume per patient, when treating the great saphenous vein alone, was 931 ml for bilateral and 425 ml for unilateral treatment. Conclusion This report of over 1000 endovenous procedures demonstrates safe performance of laser and radiofrequency treatments using tumescent local anaesthesia. Although no attempt was made to determine minimum volume requirements, a mean tumescent local anaesthesia volume of 10-12 ml/cm administered to the perivenous space provides adequate anaesthesia for truncal saphenous ablation.

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Does the direction of tumescent solution delivery matter in endovenous laser ablation of the great saphenous vein?

Abstract: We believe that delivering the tumescent solution in a distal to proximal direction increases the comfort of both patient and surgeon with lower tumescent volume during the EVLA of the GSV.

Cited by 7 publications

References 11 publications

Efficacy of topical local anaesthesia to reduce perioperative pain for endovenous laser ablation of varicose veins: a double-blind randomized controlled trial

Efficacy of topical local anaesthesia to reduce perioperative pain for endovenous laser ablation of varicose veins: a double-blind randomized controlled trial

Bước Đầu Đánh Giá Hiệu Quả Điều Trị Suy Tĩnh Mạch Mạn Tính Bằng Phương Pháp Đốt Laser Nội Mạch

A practical approach to tumescent local anaesthesia in ambulatory endovenous thermal ablation

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