Endovenous ablation of refluxing saphenous and perforating                     veins

Proebstle, Thomas M.; Bos, Renate van den

doi:10.1024/0301-1526/a000610

Cited by 16 publications

(17 citation statements)

References 56 publications

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“…IIb A Elias and Raines, 16 Tang et al, 52 Witte et al, 53,67 Proebstle and van den Bos, 104 Kugler and Brown 105 For the treatment of great saphenous reflux, cyanoacrylate ablation is recommended.…”

Section: Recommendation Class Level Referencesmentioning

confidence: 99%

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European College of Phlebology guideline for truncal ablation

et al. 2019

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Background The purpose of the guideline was to achieve consensus in the care and treatment of patients with chronic venous disease, based on current evidence. Method A systematic literature search was performed in PubMed, Embase, Cinahl, and the Cochrane library up until 1 February 2019. Additional relevant literature were added through checking of references. Level of evidence was graded through the GRADE scale and recommendations were concluded. Results For the treatment of great and small saphenous vein reflux, endovenous ablation with laser or radiofrequency was recommended in preference to surgery or foam sclerotherapy. If tributaries are to be treated it should be done in the same procedure. Treatment with mecanicochemical ablation and glue can be used but we still need long term follow up results. Conclusion For the treatment of truncal varicosities, endovenous ablation with laser or radiofrequency combined with phlebectomies is recommended before surgery or foam.

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Section: Recommendation Class Level Referencesmentioning

confidence: 99%

“…IIa A Almeida et al, 56 Bozkurt and Yılmaz, 60 Morrison et al, 63 Gibson and Ferris, 64 Proebstle et al, 65 Proebstle and van den Bos, 104 Whiteley, 106 Kolluri et al 107 For the treatment of saphenous reflux I A Lawaetz et al, 33 Winterborn et al, 71 (continued)…”

Section: Recommendation Class Level Referencesmentioning

confidence: 99%

European College of Phlebology guideline for truncal ablation

et al. 2019

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“…Although TS is used reduce thermal damage in endovenous radiofrequency and intravenous laser treatment of varicose veins of lower extremities, [ 23 , 24 ] there are still concomitant thigh pain and subcutaneous ecchymosis after surgery. [ 25 – 27 ] Ecchymosis is defined as a large amount of discoloration caused by blood infiltration into the subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of tumescent solution combined with negative pressure wound therapy in traditional high ligation and stripping of the great saphenous vein

Cheng

Qiao

2020

Medicine

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Traditional high ligation and stripping (THLS) is a routine operation for varicose veins. However, THLS is accompanied with postoperative subcutaneous ecchymosis and pain. In this current study, we aimed to explore the effect of tumescence solution (TS) combined with negative pressure wound therapy (NPWT) on the relief of subcutaneous ecchymosis and pain after THLS of great saphenous vein. A total of 180 patients receiving THLS were enrolled in group A, and 120 patients undergoing THLS and TS combined with NPWT were assigned into group B. The occurrences of subcutaneous ecchymosis and pain were recorded. Moreover, the total area of subcutaneous ecchymosis was estimated by the grid method. Visual analogue scale (VAS) score was used to assess the pain level of both groups. Preoperative characteristics were not significantly different between 2 groups. Postoperative ecchymosis occurred in 112 cases (62.2%) of group A and 41 cases (34.2%) of group B. The area of ecchymosis in group A (66.6 ± 44.5) cm 2 was larger than that in group B (25.2 ± 19.9) cm 2 . The number of patients without obvious pain in group A (57, 31.7%) was significantly less than that in group B (77, 64.2%) after operation. In addition, VAS score in group A (3.1 ± 2.6) was higher than that in group B (2.2 ± 1.9). In conclusion, the application of TS combined with NPWT in THLS can not only alleviate subcutaneous ecchymosis and pain, but also prevent the occurrence of subcutaneous ecchymosis and pain after operation. Therefore, it is conducive to postoperative recovery and is suitable for clinical application.

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“…Allgemein kann man unter den modernen endovenösen Verfahren zur Behandlung einer Varikose des epifaszialen Venensystems der unteren Extremität thermische von nichtthermischen Methoden differenzieren [19].…”

Section: Endovenöse Therapieunclassified