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Endovenous laser therapy combined with a surgical approach for primary varicose veins of the lower limbs.
Chir Ital. 2008 Sep-Oct; 60(5):717-20.CI

Abstract

In recent years, the minimal invasive alternatives to surgical ligation and stripping for the treatment of an incompetent greater saphenous vein have been explored. Endovenous laser therapy (EVLT) is one of these therapeutic options. We report on our initial experience with endovenus laser therapy combined with a surgical approach. Over the period from September 2006 to September 2007, in the Colleferro City Hospital General Surgery Department, 19 patients were submitted to endovenous laser therapy combined with a surgical approach. 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. We observed no severe complications and endovenous laser therapy proved safe and easy to perform. However, this study is too limited and too short in terms of follow-up and number of patients to establish the superiority of the procedure over stripping in terms of recurrences. Endovenous laser therapy seems promising, but larger numbers and longer follow-up are needed to suggest this technique as the best approach to the management of varicose vein disease.

Authors+Show Affiliations

General Surgery Department, Leopoldo Parodi Delfino Hospital, Colleferro, Roma.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19062495

Citation

Florio, Gaetano, et al. "Endovenous Laser Therapy Combined With a Surgical Approach for Primary Varicose Veins of the Lower Limbs." Chirurgia Italiana, vol. 60, no. 5, 2008, pp. 717-20.
Florio G, Del Papa M, Mari A, et al. Endovenous laser therapy combined with a surgical approach for primary varicose veins of the lower limbs. Chir Ital. 2008;60(5):717-20.
Florio, G., Del Papa, M., Mari, A., & Carnì, D. (2008). Endovenous laser therapy combined with a surgical approach for primary varicose veins of the lower limbs. Chirurgia Italiana, 60(5), 717-20.
Florio G, et al. Endovenous Laser Therapy Combined With a Surgical Approach for Primary Varicose Veins of the Lower Limbs. Chir Ital. 2008 Sep-Oct;60(5):717-20. PubMed PMID: 19062495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser therapy combined with a surgical approach for primary varicose veins of the lower limbs. AU - Florio,Gaetano, AU - Del Papa,Mauro, AU - Mari,Antonio, AU - Carnì,Domenico, PY - 2008/12/10/pubmed PY - 2009/2/6/medline PY - 2008/12/10/entrez SP - 717 EP - 20 JF - Chirurgia italiana JO - Chir Ital VL - 60 IS - 5 N2 - In recent years, the minimal invasive alternatives to surgical ligation and stripping for the treatment of an incompetent greater saphenous vein have been explored. Endovenous laser therapy (EVLT) is one of these therapeutic options. We report on our initial experience with endovenus laser therapy combined with a surgical approach. Over the period from September 2006 to September 2007, in the Colleferro City Hospital General Surgery Department, 19 patients were submitted to endovenous laser therapy combined with a surgical approach. 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. We observed no severe complications and endovenous laser therapy proved safe and easy to perform. However, this study is too limited and too short in terms of follow-up and number of patients to establish the superiority of the procedure over stripping in terms of recurrences. Endovenous laser therapy seems promising, but larger numbers and longer follow-up are needed to suggest this technique as the best approach to the management of varicose vein disease. SN - 0009-4773 UR - https://www.unboundmedicine.com/medline/citation/19062495/Endovenous_laser_therapy_combined_with_a_surgical_approach_for_primary_varicose_veins_of_the_lower_limbs_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -
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