Endovenous laser ablation versus conventional surgery in treatment of primary truncal varicosities

Morshed, Ahmed M.M.; Kamel, Mohammed F.; El-Nakeeb, Ayman El-Sayed Abd El-Samea; Megahed, Abd El-Salam Fathi

doi:10.4103/ejs.ejs_10_18

Endovenous laser ablation versus conventional surgery in treatment of primary truncal varicosities

Authors

Abstract

Aim of the Work
In this study we compare the outcome of laser ablation and conventional surgery in treatment of patients with primary trunkal varicose vein with a period of one year.
Background
It is estimated that varicose veins in the distribution of the great saphenous vein (GSV) are present in about 25% of women and 15% of men. Endovenous Laser Therapy (EVLT) is one of the most promising techniques in treatment of varicose veins.
Methods
This is a prospective randomized study. This study was conducted on 36 patients presented to our clinic in Mansoura university hospital (MUH) in the period from November 2015 to January 2017 with trunkal varicosities.
Results
In this study, female predominance was remarkable, with a 32 year old mean age. All patients in our study were presented by limb heaviness. Only 5 patients (13.8%) seeked intervention for varicose veins due to cosmetic issues. this study showed different results according to the operative time with 46 minutes difference in the mean operative time between both groups.
Conclusion
In our study we found that EVLA has the same results as surgical stripping regarding the efficacy and the recurrence rate, which was our primary outcome, so that we recommend EVLA as a main method for varicose vein treatment used in treatment of varicose veins with no scars or cosmetic discomfort.

Keywords