OUTCOME OF ENDOVENOUS LASER THERAPY FOR GREAT SAPHENOUS VEIN REFLUX. EARLY EXPERIENCE IN UPPER EGYPT | ||
| The Egyptian Journal of Surgery | ||
| Volume 32, Issue 4, October 2013, Pages 286-292 PDF (672.14 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2013.366723 | ||
| Author | ||
| Osama Ismail* | ||
| Vascular Surgery Department, Sohag University, Egypt | ||
| Abstract | ||
| Aim of work: To assess the efficacy and safety of endovenous laser therapy (EVLT) for management of great saphenous veins (GSV) reflux. Materials and Methods: 25 GSVs in 25 patients (18 females, 7 males) with a mean age of 37.2 years (range from 25 - 60 years) with incompetence at saphenofemoral junction (SFJ) and GSV reflux were treated with EVLT by 980-nm diode laser and evaluated in a prospective study for one year. Patients were evaluated clinically and by duplex ultrasonography at 1 week,1,3,6,9 and 12 months postoperatively to determine efficacy and procedure related complications. Results: EVLT was technically successful in 24 GSVs (96 %) and remained closed for the whole 12 months clinically and by follow-up duplex ultrasonography. Three patients(12 %) developed pain during the 1-week, Ecchymosis were seen in 18 patients(72%), 2 patients (8%) developed palpable indurations. No one developed paraesthesia or major complications particularly deep venous thrombosis. Complementary foam sclerotherapy was done in 19 patients (76%). Conclusion: EVLT for GSV reflux appears to be safe, feasible and efficient outpatient technique. With proper patient selection, EVLT can be considered as a successful method for treating superficial vein reflux and may replace the traditional surgical procedure. Long-term follow-up is awaited. | ||
| Keywords | ||
| Laser; management; saphenous vein | ||
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