Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins

Background: Varicose veins are among the commonest conditions encountered in daily vascular surgery practice. Endovascular laser ablation was introduced for its management wit an aim to reduce associated complications and recurrence of conventional surgery.Aim of the work: To evaluate the safety and...

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Autores principales:	Abdallah Mohamed Ali, Ayman Fahmy Elramah, Mahmoud Mohammed Moawad
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	varicose veins endovascular laser stripping Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b4348a62b777445294fc2a4bcf4d2649
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spelling	oai:doaj.org-article:b4348a62b777445294fc2a4bcf4d26492021-12-02T18:11:21ZComparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins2636-41742682-378010.21608/ijma.2021.86095.1341https://doaj.org/article/b4348a62b777445294fc2a4bcf4d26492021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_203369_7c0f8c6e470c2582111d93fbb5254db0.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Varicose veins are among the commonest conditions encountered in daily vascular surgery practice. Endovascular laser ablation was introduced for its management wit an aim to reduce associated complications and recurrence of conventional surgery.Aim of the work: To evaluate the safety and efficacy of endovenous laser ablation techniques versus conventional stripping surgery techniques as a method of treatment of primary lower limb varicose veins.Patients and Methods: Forty patients were included, 20 for each group [conventional surgery and laser ablation]. All were assessed preoperatively; and preoperative, operative and post-operative data were documented. All patients were followed up for at least eight months.Results: The majority of patients were in their forties with female sex predilection. Both groups were comparable regarding patient demographics, clinical presentation, CEAP Classification, clinical signs and preoperative duplex characteristics. Operative time was significantly shorter among laser than the surgery group [41.3±5.8 vs 71.8±11.5 min respectively]. Additionally, patients in laser group stayed for shorter durations in the hospital after intervention and returned earlier to their normal activity. Pain was significantly lower among the laser group [45%] than the surgery group [75%]. Recurrence was similar in both groups.Conclusion: Endovascular laser ablation is superior to conventional stripping Surgery for the management of Primary Lower Limb Varicose Veins.Abdallah Mohamed AliAyman Fahmy ElramahMahmoud Mohammed MoawadAl-Azhar University, Faculty of Medicine (Damietta)articlevaricose veinsendovascularlaserstrippingMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1930-1940 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	varicose veins endovascular laser stripping Medicine (General) R5-920
spellingShingle	varicose veins endovascular laser stripping Medicine (General) R5-920 Abdallah Mohamed Ali Ayman Fahmy Elramah Mahmoud Mohammed Moawad Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins
description	Background: Varicose veins are among the commonest conditions encountered in daily vascular surgery practice. Endovascular laser ablation was introduced for its management wit an aim to reduce associated complications and recurrence of conventional surgery.Aim of the work: To evaluate the safety and efficacy of endovenous laser ablation techniques versus conventional stripping surgery techniques as a method of treatment of primary lower limb varicose veins.Patients and Methods: Forty patients were included, 20 for each group [conventional surgery and laser ablation]. All were assessed preoperatively; and preoperative, operative and post-operative data were documented. All patients were followed up for at least eight months.Results: The majority of patients were in their forties with female sex predilection. Both groups were comparable regarding patient demographics, clinical presentation, CEAP Classification, clinical signs and preoperative duplex characteristics. Operative time was significantly shorter among laser than the surgery group [41.3±5.8 vs 71.8±11.5 min respectively]. Additionally, patients in laser group stayed for shorter durations in the hospital after intervention and returned earlier to their normal activity. Pain was significantly lower among the laser group [45%] than the surgery group [75%]. Recurrence was similar in both groups.Conclusion: Endovascular laser ablation is superior to conventional stripping Surgery for the management of Primary Lower Limb Varicose Veins.
format	article
author	Abdallah Mohamed Ali Ayman Fahmy Elramah Mahmoud Mohammed Moawad
author_facet	Abdallah Mohamed Ali Ayman Fahmy Elramah Mahmoud Mohammed Moawad
author_sort	Abdallah Mohamed Ali
title	Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins
title_short	Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins
title_full	Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins
title_fullStr	Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins
title_full_unstemmed	Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins
title_sort	comparative study between conventional stripping surgery and endovenous laser ablation in management of primary lower limb varicose veins
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/b4348a62b777445294fc2a4bcf4d2649
work_keys_str_mv	AT abdallahmohamedali comparativestudybetweenconventionalstrippingsurgeryandendovenouslaserablationinmanagementofprimarylowerlimbvaricoseveins AT aymanfahmyelramah comparativestudybetweenconventionalstrippingsurgeryandendovenouslaserablationinmanagementofprimarylowerlimbvaricoseveins AT mahmoudmohammedmoawad comparativestudybetweenconventionalstrippingsurgeryandendovenouslaserablationinmanagementofprimarylowerlimbvaricoseveins
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Comparative Study between Conventional Stripping Surgery and Endovenous Laser Ablation in Management of Primary Lower Limb Varicose Veins

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