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980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia.
ANZ J Surg. 2009 May; 79(5):352-7.AJ

Abstract

BACKGROUND

Chronic venous disorders are conditions of increasing prevalence in the developing world, and venous ulceration is the terminal sequel. Currently there are only limited data on all aspects of this from Southeast Asia. The aim of the present study was to assess differences in the demography and outcome between varicose vein surgery (VVS) and the relatively new endovenous laser therapy (EVT) in patients from Penang, Malaysia.

METHODS

A retrospective study was performed. Patients who presented to the outpatient clinic of the surgical department with saphenofemoral junction and/or saphenopopliteal junction incompetence associated with reflux of the great saphenous vein or small saphenous vein, respectively, underwent either surgery (1999-2004) or laser therapy (2004-2006). A single surgeon at a single institution performed all procedures.

RESULTS

A total of 350 limbs were treated from 292 patients. Demographics, symptoms, outcomes and complications that arose in both groups were compared. There were significant improvements in pains, swelling, cramps and heaviness postoperatively (P < 0.001) in both groups. Deep venous thrombosis was present as a complication in the VVS group at 3.0%, but was absent altogether in the EVT group.

CONCLUSIONS

Although both are highly effective procedures, laser therapy has become popular as an elective procedure with its minimally invasive nature, cosmesis, rapid recovery and other advantages. Surgery remains an important and very cost-effective procedure, especially in a developing society such as Penang.

Authors+Show Affiliations

Department of Vascular Surgery, Penang Adventist Hospital, 465 Jalan Burma, Penang, Malaysia. murli@pah.com.myNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19566516

Citation

Lakhwani, Murli N., et al. "980-nm Laser Therapy Versus Varicose Vein Surgery in Racially Diverse Penang, Malaysia." ANZ Journal of Surgery, vol. 79, no. 5, 2009, pp. 352-7.
Lakhwani MN, Dadlani NI, Wong YC. 980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia. ANZ J Surg. 2009;79(5):352-7.
Lakhwani, M. N., Dadlani, N. I., & Wong, Y. C. (2009). 980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia. ANZ Journal of Surgery, 79(5), 352-7. https://doi.org/10.1111/j.1445-2197.2009.04888.x
Lakhwani MN, Dadlani NI, Wong YC. 980-nm Laser Therapy Versus Varicose Vein Surgery in Racially Diverse Penang, Malaysia. ANZ J Surg. 2009;79(5):352-7. PubMed PMID: 19566516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia. AU - Lakhwani,Murli N, AU - Dadlani,Navin I, AU - Wong,Yong C, PY - 2009/7/2/entrez PY - 2009/7/2/pubmed PY - 2009/10/9/medline SP - 352 EP - 7 JF - ANZ journal of surgery JO - ANZ J Surg VL - 79 IS - 5 N2 - BACKGROUND: Chronic venous disorders are conditions of increasing prevalence in the developing world, and venous ulceration is the terminal sequel. Currently there are only limited data on all aspects of this from Southeast Asia. The aim of the present study was to assess differences in the demography and outcome between varicose vein surgery (VVS) and the relatively new endovenous laser therapy (EVT) in patients from Penang, Malaysia. METHODS: A retrospective study was performed. Patients who presented to the outpatient clinic of the surgical department with saphenofemoral junction and/or saphenopopliteal junction incompetence associated with reflux of the great saphenous vein or small saphenous vein, respectively, underwent either surgery (1999-2004) or laser therapy (2004-2006). A single surgeon at a single institution performed all procedures. RESULTS: A total of 350 limbs were treated from 292 patients. Demographics, symptoms, outcomes and complications that arose in both groups were compared. There were significant improvements in pains, swelling, cramps and heaviness postoperatively (P < 0.001) in both groups. Deep venous thrombosis was present as a complication in the VVS group at 3.0%, but was absent altogether in the EVT group. CONCLUSIONS: Although both are highly effective procedures, laser therapy has become popular as an elective procedure with its minimally invasive nature, cosmesis, rapid recovery and other advantages. Surgery remains an important and very cost-effective procedure, especially in a developing society such as Penang. SN - 1445-2197 UR - https://www.unboundmedicine.com/medline/citation/19566516/980_nm_laser_therapy_versus_varicose_vein_surgery_in_racially_diverse_Penang_Malaysia_ L2 - https://doi.org/10.1111/j.1445-2197.2009.04888.x DB - PRIME DP - Unbound Medicine ER -