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Randomised controlled trial comparing sapheno-femoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anaesthesia: one year results.
Eur J Vasc Endovasc Surg. 2010 Nov; 40(5):649-56.EJ

Abstract

OBJECTIVES

Comparison of sapheno-femoral ligation and stripping (SFL/S) versus endovenous laser ablation (EVLA, 980-nm) in the treatment of great saphenous vein (GSV) insufficiency, using local tumescent anaesthesia.

DESIGN

Randomised, single centre trial.

MATERIALS AND METHODS

Patients with GSV incompetence and varicose veins were randomised to either SFL/S or EVLA. At days 1, 2, 3, 7, 10, and 14 post-treatment, patients completed questionnaires on pain and quality of life. Recurrent varicose veins were evaluated by Duplex ultrasound (DUS) performed at 1 and 6 weeks, and 6 and 12 months.

RESULTS

130 legs in 121 patients were treated by SFL/S (n=68) or EVLA (n=62). Significantly more post-treatment pain was noted after EVLA at days 7, 10 and 14 (p<0.01; p<0.01; p=0.01), more hindrance in mobility at days 7 (p<0.01) and 10 (p=0.01), and in self care (p=0.03) and daily activities (p=0.01) at day 7 compared to SFL/S. DUS at 1-year follow-up showed 9% recurrences (5/56) after EVLA and 10% (5/49) after SFL/S.

CONCLUSION

Both SFL/S and EVLA, using local tumescent anaesthesia, were well tolerated, with no difference in short-term recurrence rate. In the second week after EVLA, patients experienced significantly more pain resulting in restricted mobility, self care and daily activity compared to SFL/S.

Authors+Show Affiliations

Flebologisch Centrum Oosterwal, Overkrocht 10, 1815 KX Alkmaar, The Netherlands. pascalpronk888@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20888274

Citation

Pronk, P, et al. "Randomised Controlled Trial Comparing Sapheno-femoral Ligation and Stripping of the Great Saphenous Vein With Endovenous Laser Ablation (980 Nm) Using Local Tumescent Anaesthesia: One Year Results." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 40, no. 5, 2010, pp. 649-56.
Pronk P, Gauw SA, Mooij MC, et al. Randomised controlled trial comparing sapheno-femoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anaesthesia: one year results. Eur J Vasc Endovasc Surg. 2010;40(5):649-56.
Pronk, P., Gauw, S. A., Mooij, M. C., Gaastra, M. T., Lawson, J. A., van Goethem, A. R., & van Vlijmen-van Keulen, C. J. (2010). Randomised controlled trial comparing sapheno-femoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anaesthesia: one year results. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 40(5), 649-56. https://doi.org/10.1016/j.ejvs.2010.08.007
Pronk P, et al. Randomised Controlled Trial Comparing Sapheno-femoral Ligation and Stripping of the Great Saphenous Vein With Endovenous Laser Ablation (980 Nm) Using Local Tumescent Anaesthesia: One Year Results. Eur J Vasc Endovasc Surg. 2010;40(5):649-56. PubMed PMID: 20888274.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomised controlled trial comparing sapheno-femoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anaesthesia: one year results. AU - Pronk,P, AU - Gauw,S A, AU - Mooij,M C, AU - Gaastra,M T W, AU - Lawson,J A, AU - van Goethem,A R, AU - van Vlijmen-van Keulen,C J, PY - 2010/01/30/received PY - 2010/08/02/accepted PY - 2010/10/5/entrez PY - 2010/10/5/pubmed PY - 2010/12/14/medline SP - 649 EP - 56 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 40 IS - 5 N2 - OBJECTIVES: Comparison of sapheno-femoral ligation and stripping (SFL/S) versus endovenous laser ablation (EVLA, 980-nm) in the treatment of great saphenous vein (GSV) insufficiency, using local tumescent anaesthesia. DESIGN: Randomised, single centre trial. MATERIALS AND METHODS: Patients with GSV incompetence and varicose veins were randomised to either SFL/S or EVLA. At days 1, 2, 3, 7, 10, and 14 post-treatment, patients completed questionnaires on pain and quality of life. Recurrent varicose veins were evaluated by Duplex ultrasound (DUS) performed at 1 and 6 weeks, and 6 and 12 months. RESULTS: 130 legs in 121 patients were treated by SFL/S (n=68) or EVLA (n=62). Significantly more post-treatment pain was noted after EVLA at days 7, 10 and 14 (p<0.01; p<0.01; p=0.01), more hindrance in mobility at days 7 (p<0.01) and 10 (p=0.01), and in self care (p=0.03) and daily activities (p=0.01) at day 7 compared to SFL/S. DUS at 1-year follow-up showed 9% recurrences (5/56) after EVLA and 10% (5/49) after SFL/S. CONCLUSION: Both SFL/S and EVLA, using local tumescent anaesthesia, were well tolerated, with no difference in short-term recurrence rate. In the second week after EVLA, patients experienced significantly more pain resulting in restricted mobility, self care and daily activity compared to SFL/S. SN - 1532-2165 UR - https://www.unboundmedicine.com/medline/citation/20888274/Randomised_controlled_trial_comparing_sapheno_femoral_ligation_and_stripping_of_the_great_saphenous_vein_with_endovenous_laser_ablation__980_nm__using_local_tumescent_anaesthesia:_one_year_results_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(10)00492-2 DB - PRIME DP - Unbound Medicine ER -