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Date Published: 03/11/2020
Abstract Views: 503
Views PDF: 1122
DOI: https://doi.org/10.47972/vjcts.v8i.258
Issue
Vol. 8
Section
Research Article
How to Cite
Duc, H. K. ., Thanh, D. H. ., Hai, P. T. ., Thinh, C. V. ., Minh, N. C., & Tan, V. (2020). VARICOSE VEIN TREATMENT WITH ENDOVENOUS LASER THERAPY: the outcome after 2 years follow-up. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 8, 12-20. https://doi.org/10.47972/vjcts.v8i.258

VARICOSE VEIN TREATMENT WITH ENDOVENOUS LASER THERAPY: the outcome after 2 years follow-up

Ho Khanh Duc, Dinh Hoai Thanh, Phan Thanh Hai, Cao Van Thinh, Nguyen Cong Minh, Van Tan

Main Article Content

Abstract

Introduction
Endovenous laser treatment has demonstrated the superiority and can replace surgery in the future.
Worldwide, this technique has been applied for a decade. In Vietnam, Binh Dan hospital and Medic Center has performed this tecnique since 2008. The purpose of this study was to assess the treatment outcome after 2 years follow-up, compared with the results of patients who received surgery at Binh Dan
hospital from 1/2009 -12/2010.
Methods
In a prospective trial non randomize study, we decribe the treatment outcome of 79 great saphenous veins (61 patients) by EVLT and 58 patients by open surgery after 2 years, with ultrasound surveillance.
Results
The success rate:
- Clinical:
ï 98.36 % patients improved clinically,
ï Assessment Scale of the severity of the diseases (CEAP, VCSS) significant decreased compared with
the previous procedure.
- Ultrasound: 98.73 % GSV occluded, shrink, barely visible on ultrasound, means size only 1.97 ±
0.34 mm after 2 years. There are few complications were noted during or after the procedure, with no serious complications, sequelae and mortality.
ï Most feel pain, strain along the way of veins treated, respond well to anti-inflammatory medications in 1 week
ï Most have thigh bruise last about 1-2 weeks, no significant impact on the health and aesthetics.. Low recurrence rate (1.26 % ). In compare with the result of 58 patients who received surgery at Binh Dan hospital, with the mean age - disease severity alike, in equal intervals, suggesting that EVLT effective as surgery but less invasive, outpatient, faster recovery time, less pain and more aesthetic than surgery.
Conclusion
Saphenous reflux was effectively controlled by EVLT as an outpatient procedure under local anaesthesia with a lot of advantages for patients: immediate mobilisation, minimal disruption of activities, satisfactory functional, aesthetic results and avoidance of surgical trauma.

Article Details

Keywords

endovenous laser - varicose vein

References

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