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Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers.
Ann Plast Surg. 2019 01; 82(1S Suppl 1):S103-S107.AP

Abstract

BACKGROUND

The objective of this study was to assess the efficacy and safety of endovenous laser photocoagulation (EVLP) at a wavelength of 810 nm for treating complicated venous insufficiency associated with venous ulcers.

MATERIALS AND METHODS

A retrospective review of 110 patients with 180 legs having chronic venous insufficiencies associated with varicose veins treated over an 8-year period was conducted. Patients ranged from 16 to 80 years of age and included 85 women and 25 men. Of the 110 patients, 32 (29.10%) patients with 40 legs having varicose veins were defined as having complicated varicose veins associated with venous ulcers. All 32 patients received EVLP treatment using a diode laser. Complications were evaluated at 3 weeks (early), 6 weeks (late), and 6 months (final) after EVLP treatment. The primary efficacy and final outcome measurement were determined through quantitative assessment using Hach's and clinical, etiological, anatomical, and pathophysiological classification. Safety was evaluated for each treatment group by monitoring adverse effects.

RESULTS

Early complications were swelling, local paresthesia, pigmentation, minor superficial thermal injury, superficial phlebitis, and localized hematomas. All complications and ulcerations resolved completely within 2 weeks. No recurrence occurred after the study's 6-month follow-up period. Based on paired t test analysis, clinically significant differences in severity scores were discovered, which were based on Hach's classification before and after EVLP treatment at a wavelength of 810 nm. All patients achieved improvement from clinical, etiological, anatomical, and pathophysiological class C6 to C5. Permanent adverse effects were not observed.

CONCLUSIONS

Endovenous laser photocoagulation at the wavelength of 810 nm permitted the use of appropriate light doses for treating complicated varicose veins associated with venous ulcers and resulted in significant improvement in lesions.

Authors+Show Affiliations

No affiliation info availableDepartment of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30461460

Citation

Lee, Jing-Syuan, et al. "Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers." Annals of Plastic Surgery, vol. 82, no. 1S Suppl 1, 2019, pp. S103-S107.
Lee JS, Hsiao YC, Chang CJ. Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers. Ann Plast Surg. 2019;82(1S Suppl 1):S103-S107.
Lee, J. S., Hsiao, Y. C., & Chang, C. J. (2019). Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers. Annals of Plastic Surgery, 82(1S Suppl 1), S103-S107. https://doi.org/10.1097/SAP.0000000000001726
Lee JS, Hsiao YC, Chang CJ. Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers. Ann Plast Surg. 2019;82(1S Suppl 1):S103-S107. PubMed PMID: 30461460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers. AU - Lee,Jing-Syuan, AU - Hsiao,Yen-Chang, AU - Chang,Cheng-Jen, PY - 2018/11/22/pubmed PY - 2020/6/10/medline PY - 2018/11/22/entrez SP - S103 EP - S107 JF - Annals of plastic surgery JO - Ann Plast Surg VL - 82 IS - 1S Suppl 1 N2 - BACKGROUND: The objective of this study was to assess the efficacy and safety of endovenous laser photocoagulation (EVLP) at a wavelength of 810 nm for treating complicated venous insufficiency associated with venous ulcers. MATERIALS AND METHODS: A retrospective review of 110 patients with 180 legs having chronic venous insufficiencies associated with varicose veins treated over an 8-year period was conducted. Patients ranged from 16 to 80 years of age and included 85 women and 25 men. Of the 110 patients, 32 (29.10%) patients with 40 legs having varicose veins were defined as having complicated varicose veins associated with venous ulcers. All 32 patients received EVLP treatment using a diode laser. Complications were evaluated at 3 weeks (early), 6 weeks (late), and 6 months (final) after EVLP treatment. The primary efficacy and final outcome measurement were determined through quantitative assessment using Hach's and clinical, etiological, anatomical, and pathophysiological classification. Safety was evaluated for each treatment group by monitoring adverse effects. RESULTS: Early complications were swelling, local paresthesia, pigmentation, minor superficial thermal injury, superficial phlebitis, and localized hematomas. All complications and ulcerations resolved completely within 2 weeks. No recurrence occurred after the study's 6-month follow-up period. Based on paired t test analysis, clinically significant differences in severity scores were discovered, which were based on Hach's classification before and after EVLP treatment at a wavelength of 810 nm. All patients achieved improvement from clinical, etiological, anatomical, and pathophysiological class C6 to C5. Permanent adverse effects were not observed. CONCLUSIONS: Endovenous laser photocoagulation at the wavelength of 810 nm permitted the use of appropriate light doses for treating complicated varicose veins associated with venous ulcers and resulted in significant improvement in lesions. SN - 1536-3708 UR - https://www.unboundmedicine.com/medline/citation/30461460/Endovenous_Photocoagulation_Using_a_Diode_Laser_for_Complicated_Varicose_Veins_Related_to_Stasis_Ulcers_ L2 - https://doi.org/10.1097/SAP.0000000000001726 DB - PRIME DP - Unbound Medicine ER -