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KMID : 0371320070720050397
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Journal of the Korean Surgical Society
2007 Volume.72 No. 5 p.397 ~ p.402
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Clinical Analysis of Endovenous Laser Treatment for Primary Varicose Vein Reflux
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Jang Ki-Hun
Jang Jeong-Hwan
Kim Seong-Hwan
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Abstract
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Purpose: Endovenous laser treatment for incompetent great saphenous vein (GSV) has been recently proposed as an effective means of treatment. The aim of this study is to identify the complications and safety of EVLT as the main treatment for primary varicose vein incompetence when used concomitantly with miniphlebectomy and sclerotherapy.
Methods: We reviewed the records of 153 patients who underwent EVLT. Venous duplex scanning was performed 3 months after surgery in all the patients. The clinical outcomes were evaluated using questionnaires at the outpatient clinic or through phone calls.
Results: Considering the 97% satisfaction rate of EVLT, EVLT was an effective treatment for primary varicose vein. We observed complications such as paresthesia (20.9%), pain lasting more than 2 weeks (11.8%), ecchymosis or bruising (7.2%) that subsided spontaneously, superficial burn (5.2%) and phlebitis (2%) that was controlled by conservative treatment. The GSV recanalization rate 3 months after the procedure was 3.3%, resulting in a 96.7% success rate.
Conclusion: The early results indicate that EVLT is an effective and safe procedure to eliminate the SFJ (sapheno- femoral junction) and obliteration of the GSV. However, long-term follow-up is necessary in our study. Better treatment outcomes are possible with accumulated experience and the establishment of strict indications for EVLT. (J Korean Surg Soc 2007;72:397-402)
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KEYWORD
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Endovenous laser treatment (EVLT), 810 nm, Great saphenous vein (GSV), Varicose vein
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