LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb

Background: Endovenous thermal techniques, such as endovenous laser ablation [EVLA], are the recommended treatment for varicose veins. Non-thermal techniques such as Mechanochemical ablation [MOCA] have potential benefits. Aim of the work: To compare EVLA with MOCA in the treatment of primary varico...

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Autores principales:	mohamed ahmed abozeid, Metwaly Ragab Ibrahim, Gamal El-sayed Almaadawy
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	mechanochemical ablation phlebogriffe thermal ablation treatment varicose veins Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f92ceda8467e4ba9bcea7d7249a1ddd2
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spelling	oai:doaj.org-article:f92ceda8467e4ba9bcea7d7249a1ddd22021-12-02T14:06:31ZLASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb2636-41742682-378010.21608/ijma.2020.21429.1060https://doaj.org/article/f92ceda8467e4ba9bcea7d7249a1ddd22021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_120950_2796fd1ffa83c9924c9446390cf00fc8.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Endovenous thermal techniques, such as endovenous laser ablation [EVLA], are the recommended treatment for varicose veins. Non-thermal techniques such as Mechanochemical ablation [MOCA] have potential benefits. Aim of the work: To compare EVLA with MOCA in the treatment of primary varicose vein of the lower limb. Patients and Methods: 40 patients who had primary great saphenous varicose veins [VV] admitted at the Vascular Surgery Department, Al-Azhar University Hospital, New Damietta, Egypt. They randomized into two equal groups each one included 20 patients group [1] treated by EVLA and group [2] treated by MOCA. Results: The time of operation of studied patients ranged from 22 to 44 minutes, and there a statistically significant decrease in time of group 2 compared to group 1. [25.36±1.80 vs. 37.30±2.47 respectively]. Postoperative pain in studied patients ranged from 0 [no pain] to 7 [severe pain], there statistically significant decrease in pain of group 2 compared to group 1. As regard to induration, it was reported in 4 patients, representing 20% of group 1 [4] patients, were significant differences between groups 1 and 2 [20% vs. 0% respectively]. At the end of the sixth month postoperatively, as regard complete occlusion of the great saphenous vein [GSV] vein, there was statistically no significant difference between group 2 when compared to group 1 [92.5% vs. 95% respectively]. Conclusions: MOCA was associated with better results on short-term follow-up.mohamed ahmed abozeidMetwaly Ragab IbrahimGamal El-sayed AlmaadawyAl-Azhar University, Faculty of Medicine (Damietta)articlemechanochemical ablationphlebogriffethermal ablationtreatmentvaricose veinsMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1016-1024 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mechanochemical ablation phlebogriffe thermal ablation treatment varicose veins Medicine (General) R5-920
spellingShingle	mechanochemical ablation phlebogriffe thermal ablation treatment varicose veins Medicine (General) R5-920 mohamed ahmed abozeid Metwaly Ragab Ibrahim Gamal El-sayed Almaadawy LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
description	Background: Endovenous thermal techniques, such as endovenous laser ablation [EVLA], are the recommended treatment for varicose veins. Non-thermal techniques such as Mechanochemical ablation [MOCA] have potential benefits. Aim of the work: To compare EVLA with MOCA in the treatment of primary varicose vein of the lower limb. Patients and Methods: 40 patients who had primary great saphenous varicose veins [VV] admitted at the Vascular Surgery Department, Al-Azhar University Hospital, New Damietta, Egypt. They randomized into two equal groups each one included 20 patients group [1] treated by EVLA and group [2] treated by MOCA. Results: The time of operation of studied patients ranged from 22 to 44 minutes, and there a statistically significant decrease in time of group 2 compared to group 1. [25.36±1.80 vs. 37.30±2.47 respectively]. Postoperative pain in studied patients ranged from 0 [no pain] to 7 [severe pain], there statistically significant decrease in pain of group 2 compared to group 1. As regard to induration, it was reported in 4 patients, representing 20% of group 1 [4] patients, were significant differences between groups 1 and 2 [20% vs. 0% respectively]. At the end of the sixth month postoperatively, as regard complete occlusion of the great saphenous vein [GSV] vein, there was statistically no significant difference between group 2 when compared to group 1 [92.5% vs. 95% respectively]. Conclusions: MOCA was associated with better results on short-term follow-up.
format	article
author	mohamed ahmed abozeid Metwaly Ragab Ibrahim Gamal El-sayed Almaadawy
author_facet	mohamed ahmed abozeid Metwaly Ragab Ibrahim Gamal El-sayed Almaadawy
author_sort	mohamed ahmed abozeid
title	LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
title_short	LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
title_full	LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
title_fullStr	LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
title_full_unstemmed	LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
title_sort	laser versus mechanochemical ablation in treatment of primary varicose vein of lower limb
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/f92ceda8467e4ba9bcea7d7249a1ddd2
work_keys_str_mv	AT mohamedahmedabozeid laserversusmechanochemicalablationintreatmentofprimaryvaricoseveinoflowerlimb AT metwalyragabibrahim laserversusmechanochemicalablationintreatmentofprimaryvaricoseveinoflowerlimb AT gamalelsayedalmaadawy laserversusmechanochemicalablationintreatmentofprimaryvaricoseveinoflowerlimb
_version_	1718392000142639104

LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb

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