Endovenous Laser Coagulation in the Surgical Treatment of Varicose Veins Lower Limb


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Abstract

The purpose of the study To study long-term results endovenous laser coagulation in patients with varicose veins lower extremities. Materials and methods Results of treatment of 241 patients with varicose veins lower extremities by endovenous laser treatment (EVLT). EVLT used for laser diode domestic "Creole" company "Technology-pro", a wavelength is 980 nm., The power used for EVLT - 10-12 watts. EVLT performed 10-20 sec by 1 position, depending on the thickness of veins, traction the optical fiber 1-2 cm. The criterion for adequacy obliteration of of the great saphenous vein (GSV) had ultrasound signs of vein occlusion, collaterals were treated from separate punctures. Smooth running PFS was not a determining factor during EVLT. In case complications during angiographic catheter performs additional puncture or install additional catheter. In addition, there have been rare detected by ultrasound several trunks GSV in the leg or thigh. Each detected a barrel treated separately. Results and their discussion The technical success of Operation was achieved in all cases, which was confirmed by color duplex scanning. Intraoperative complications were absent. Regression of chronic venous insufficiency was noted in all patients. In patients with clinical classes C4 and C5 was a decrease area of foci lipodermo sclerosis and skin hyperpigmentation. Negative dynamics was observed in 2 (4.2%) patients and 2 C2 (5.1%) patients with clinical group at C3 CEAR. An objective study of the deterioration of the limbs was not. Long-term outcome was studied in 174 (72.2%) patients in the period up to 5 years. Signs GSV occlusion throughout detected in 168 (96.4%) patients, signs of partial recanalization of GSV were detected in 6 (3.5%) patients. Patients with partial recanalization of GSV re EVLT required in 4 (2.4%) patients. Conclusion EVLT is a highly effective, low-impact treatment and allows you to replace the traditional methods of surgical treatment in most patients.

About the authors

M.I. Kalinin Samara Regional Clinical Hospital, 159 Tashkentskaia Str., Samara, 443095, Russian Federation

Author for correspondence.
Email: shalashov@mail.ru
Doctor of Cardiovascular Surgery Department of Vascular Surgery Samara Regional Clinical Hospital. Russian Federation

M.I. Kalinin Samara Regional Clinical Hospital, 159 Tashkentskaia Str., Samara, 443095, Russian Federation

Email: angiosurgery7@rambler.ru
PhD, Head of Department of Vascular Surgery Samara Regional Clinical Hospital Russian Federation

M.I. Kalinin Samara Regional Clinical Hospital, 159 Tashkentskaia Str., Samara, 443095, Russian Federation
Samara State Medical University, 89 Chapaevskaia Str., Samara, 443099, Russian Federation

Email: korymasov@mail.ru
MD, Prof., Head. the Department and Clinic of Surgery Institute of Postgraduate Education of the Samara State Medical University, Head Specialist of the Ministry of Health of the Samara region in surgery Russian Federation

M.I. Kalinin Samara Regional Clinical Hospital, 159 Tashkentskaia Str., Samara, 443095, Russian Federation
Samara State Medical University, 89 Chapaevskaia Str., Samara, 443099, Russian Federation

Email: dockazantsev@mail.ru
MD, Surgeon of Cardiovascular Surgery Department of Vascular Surgery Samara Regional Clinical Hospital, Assoc. Department of Surgery Institute of Postgraduate Education of the Samara State Medical University Russian Federation

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