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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Study on Endovenous Laser Ablation Versus Conventional Surgery in the Treatment of Small Saphenous Vein Incompetence

S. Deepak, A. Kalaiventhan and S.K. Sreethar
Page: 379-383 | Received 20 Feb 2024, Published online: 16 Mar 2024

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Abstract

In this multicenter, randomised controlled experiment, the treatment of varicose veins based on incompetence of the saphenopopliteal junction (SPJ) and tiny saphenous vein is evaluated between endovenous laser ablation (EVLA) and traditional surgery. 189 individuals were recruited and randomly assigned to receive either SPJ ligation or EVLA (810‐nm laser) in two Dutch institutions. The success rate as determined by duplex ultrasonography six weeks after treatment, perioperative discomfort, quality of life, length of surgery, surgical difficulties, complications, cosmetic outcome and the amount of time needed to return to work and regular activities were the end goals. A visual analogue scale was used to evaluate pain (VAS). The Aberdeen Varicose Vein Questionnaire (AVVQ) and Euro Qol‐5D were used to measure quality of life. This article's follow‐up period is six weeks. Within the surgical group, 11 patients (21%) experienced procedural failure, which is defined as residual incompe‐tence of the SPJ. There was evidence of partial blockage in two more cases. Remaining flow canal of less than 2 mm was considered partial obstruction. Due to tributary varicose branches, incompetence was observed at the site of the ligated SPJ in four patients (7.7%).


How to cite this article:

S. Deepak, A. Kalaiventhan and S.K. Sreethar. A Study on Endovenous Laser Ablation Versus Conventional Surgery in the Treatment of Small Saphenous Vein Incompetence.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.2.379.383
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.2.379.383