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Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins.
Ann R Coll Surg Engl. 2014 May; 96(4):279-83.AR

Abstract

INTRODUCTION

Endovenous ablation of saphenous varicose veins has decreased morbidity and recovery time compared with open surgery. This study assessed the outcome and mid-term patient satisfaction of single-visit endovenous laser treatment (EVLT) alone, EVLT combined with phlebectomies and endovenous chemical ablation.

METHODS

A retrospective review was conducted of all patients (n=91) in 2008-2009 who underwent single-visit day-case EVLT using local anaesthesia under a single surgeon. Postoperative venous ultrasonography at 2 and 14 months was reviewed. A telephone questionnaire was carried out to assess recurrence of symptoms and quality of life at 42 months.

RESULTS

Overall, 124 limbs underwent day-case EVLT under local anaesthesia using an 810nm diode laser at a continuous setting of 14W. Forty-eight of these underwent EVLT alone while fifty underwent EVLT with phlebectomies and twenty-six underwent EVLT with endovenous chemical ablation. Ninety-one per cent of limbs underwent two-month postoperative imaging. All had satisfactory great saphenous vein (GSV) ablation (anterior thigh vein patency: n=1). The majority (84%) of limbs underwent 14-month imaging with a 98% GSV ablation rate. Three per cent had anterior thigh vein and saphenofemoral junction incompetence. Recurrence of GSV patency and reflux was <1%. The response rate to the questionnaire was 60%: 95% of respondents confirmed improvement following treatment, 62% remained symptom free at 42 months while 65% of patients with a return of symptoms deemed them mild. The questionnaire was scored out of 56 for symptoms and quality of life. Those with symptoms scored significantly higher.

CONCLUSIONS

At 42 months, the majority of limbs remained asymptomatic. The short-term GSV ablation rates were excellent. Overall mid-term review of patients has shown a well received single-visit service with concomitant phlebectomy or endovenous ablation, and good ablation and patient satisfaction rates.

Authors+Show Affiliations

East Lancashire Hospitals NHS Trust, UK.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24780019

Citation

Alder, L S., and M A. Rahi. "Single-visit Endovenous Laser Treatment and Tributary Procedures for Symptomatic Great Saphenous Varicose Veins." Annals of the Royal College of Surgeons of England, vol. 96, no. 4, 2014, pp. 279-83.
Alder LS, Rahi MA. Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins. Ann R Coll Surg Engl. 2014;96(4):279-83.
Alder, L. S., & Rahi, M. A. (2014). Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins. Annals of the Royal College of Surgeons of England, 96(4), 279-83. https://doi.org/10.1308/003588414X13814021679474
Alder LS, Rahi MA. Single-visit Endovenous Laser Treatment and Tributary Procedures for Symptomatic Great Saphenous Varicose Veins. Ann R Coll Surg Engl. 2014;96(4):279-83. PubMed PMID: 24780019.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins. AU - Alder,L S, AU - Rahi,M A, PY - 2014/5/1/entrez PY - 2014/5/2/pubmed PY - 2014/6/26/medline SP - 279 EP - 83 JF - Annals of the Royal College of Surgeons of England JO - Ann R Coll Surg Engl VL - 96 IS - 4 N2 - INTRODUCTION: Endovenous ablation of saphenous varicose veins has decreased morbidity and recovery time compared with open surgery. This study assessed the outcome and mid-term patient satisfaction of single-visit endovenous laser treatment (EVLT) alone, EVLT combined with phlebectomies and endovenous chemical ablation. METHODS: A retrospective review was conducted of all patients (n=91) in 2008-2009 who underwent single-visit day-case EVLT using local anaesthesia under a single surgeon. Postoperative venous ultrasonography at 2 and 14 months was reviewed. A telephone questionnaire was carried out to assess recurrence of symptoms and quality of life at 42 months. RESULTS: Overall, 124 limbs underwent day-case EVLT under local anaesthesia using an 810nm diode laser at a continuous setting of 14W. Forty-eight of these underwent EVLT alone while fifty underwent EVLT with phlebectomies and twenty-six underwent EVLT with endovenous chemical ablation. Ninety-one per cent of limbs underwent two-month postoperative imaging. All had satisfactory great saphenous vein (GSV) ablation (anterior thigh vein patency: n=1). The majority (84%) of limbs underwent 14-month imaging with a 98% GSV ablation rate. Three per cent had anterior thigh vein and saphenofemoral junction incompetence. Recurrence of GSV patency and reflux was <1%. The response rate to the questionnaire was 60%: 95% of respondents confirmed improvement following treatment, 62% remained symptom free at 42 months while 65% of patients with a return of symptoms deemed them mild. The questionnaire was scored out of 56 for symptoms and quality of life. Those with symptoms scored significantly higher. CONCLUSIONS: At 42 months, the majority of limbs remained asymptomatic. The short-term GSV ablation rates were excellent. Overall mid-term review of patients has shown a well received single-visit service with concomitant phlebectomy or endovenous ablation, and good ablation and patient satisfaction rates. SN - 1478-7083 UR - https://www.unboundmedicine.com/medline/citation/24780019/Single_visit_endovenous_laser_treatment_and_tributary_procedures_for_symptomatic_great_saphenous_varicose_veins_ L2 - https://publishing.rcseng.ac.uk/doi/10.1308/003588414X13814021679474?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -