Tags

Type your tag names separated by a space and hit enter

[Combination of endovenous laser treatment and a surgical approach for venous disease].
Chir Ital. 2007 Jul-Aug; 59(4):475-9.CI

Abstract

The aim of our study was to report our experience with endovenous laser treatment (EVLT), initiated with an exclusively US-guided approach, but then combined with a surgical approach. Over the period from September 2003 to December 2005 in the Sondrio Hospital General Surgery Unit 61 patients were submitted to EVLT. In the first 13 cases the procedure was performed under ultrasonographic guidance, whereas later we opted for a combined technique in which the use of the laser was preceded by high ligation of the saphenous vein ("crossectomy") together with complete sectioning of the venous collaterals (48 cases). We observed no complications related to the saphenous vein ligation, whilst EVLT proved safe and easy to perform. Considering successful EVLT as ultrasonographically documented absence of flow in the saphenous vein, a statistically significant difference (p < 0.01) was found between the patients treated using the combined strategy (absence of flow in 92.0% of cases) and those treated with EVLT alone (absence of flow in 54.6% of cases). If EVLT is combined with high ligation of the saphenous vein, it is easier to obtain complete sclerosis of the saphenous trunk, avoiding possible recurrences, amongst other things thanks to the ligation of all the collateral veins that flow into the cross. Moreover, particular selection of patients to be submitted to EVLT proves less necessary, thus substantially increasing the indications for the procedure.

Authors+Show Affiliations

Divisione di Chirurgia Generale, Struttura Ospedaliera di Sondrio, AOVV Sondrio.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ita

PubMed ID

17966767

Citation

Longhini, Alessandro, et al. "[Combination of Endovenous Laser Treatment and a Surgical Approach for Venous Disease]." Chirurgia Italiana, vol. 59, no. 4, 2007, pp. 475-9.
Longhini A, Borelli P, Franzini M, et al. [Combination of endovenous laser treatment and a surgical approach for venous disease]. Chir Ital. 2007;59(4):475-9.
Longhini, A., Borelli, P., Franzini, M., Kazemian, A. R., Munarini, G., & Marcolli, G. (2007). [Combination of endovenous laser treatment and a surgical approach for venous disease]. Chirurgia Italiana, 59(4), 475-9.
Longhini A, et al. [Combination of Endovenous Laser Treatment and a Surgical Approach for Venous Disease]. Chir Ital. 2007 Jul-Aug;59(4):475-9. PubMed PMID: 17966767.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Combination of endovenous laser treatment and a surgical approach for venous disease]. AU - Longhini,Alessandro, AU - Borelli,Paolo, AU - Franzini,Marco, AU - Kazemian,Amir Reza, AU - Munarini,Gianluca, AU - Marcolli,Giuseppe, PY - 2007/10/31/pubmed PY - 2007/12/15/medline PY - 2007/10/31/entrez SP - 475 EP - 9 JF - Chirurgia italiana JO - Chir Ital VL - 59 IS - 4 N2 - The aim of our study was to report our experience with endovenous laser treatment (EVLT), initiated with an exclusively US-guided approach, but then combined with a surgical approach. Over the period from September 2003 to December 2005 in the Sondrio Hospital General Surgery Unit 61 patients were submitted to EVLT. In the first 13 cases the procedure was performed under ultrasonographic guidance, whereas later we opted for a combined technique in which the use of the laser was preceded by high ligation of the saphenous vein ("crossectomy") together with complete sectioning of the venous collaterals (48 cases). We observed no complications related to the saphenous vein ligation, whilst EVLT proved safe and easy to perform. Considering successful EVLT as ultrasonographically documented absence of flow in the saphenous vein, a statistically significant difference (p < 0.01) was found between the patients treated using the combined strategy (absence of flow in 92.0% of cases) and those treated with EVLT alone (absence of flow in 54.6% of cases). If EVLT is combined with high ligation of the saphenous vein, it is easier to obtain complete sclerosis of the saphenous trunk, avoiding possible recurrences, amongst other things thanks to the ligation of all the collateral veins that flow into the cross. Moreover, particular selection of patients to be submitted to EVLT proves less necessary, thus substantially increasing the indications for the procedure. SN - 0009-4773 UR - https://www.unboundmedicine.com/medline/citation/17966767/[Combination_of_endovenous_laser_treatment_and_a_surgical_approach_for_venous_disease]_ DB - PRIME DP - Unbound Medicine ER -