Document Detail


Varicose vein surgery and endovenous laser therapy.
MedLine Citation:
PMID:  17429785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Varicose veins are a widespread problem, and are encountered by various medical specialists. Symptoms can appear from mild, such as tiredness of the legs, to severe chronic ulcers. Varicose veins are generally caused by the reflux of an incompetent saphenofemoral junction and long saphenous vein. In the presence of reflux, the treatment should be directed at the ablation of the hydrostatic forces of the reflux. Conventional surgical treatment consists of a high ligation of the saphenofemoral junction and stripping of the saphenous vein. In the era of minimally invasive surgery, various endovenous techniques have been developed, including endovenous laser therapy. This technique is relatively cheap and can be performed under only local anesthesia. During endovenous laser therapy, energy is delivered to the vein wall, causing it to shrink and eventually occlude. Currently, the mechanisms of action involved in laser treatment are not fully understood. Clinical studies have shown occlusion rates to be very competitive to conventional high ligation and stripping and superior cosmetics. Complications may include mild to moderate pain, ecchymosis, induration, hematoma, and phlebitis. All of these are generally self-limiting. In the challenge of finding the correct balance between a low incidence of varicose vein recurrence and complications and optimal cosmetic results, endovenous laser therapy is a promising modality. However, controlled studies that assess the effectiveness of endovenous laser therapy in comparison to saphenofemoral ligation with saphenous vein stripping are crucial before considering endovenous laser therapy as the new standard treatment.
Authors:
Michel M P J Reijnen; Ben C V M Disselhoff; Clark J Zeebregts
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Surgical technology international     Volume:  16     ISSN:  1090-3941     ISO Abbreviation:  Surg Technol Int     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-12     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604509     Medline TA:  Surg Technol Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  167-74     Citation Subset:  IM    
Affiliation:
Department of Surgery, Alysis Zorggroep, Rijnstate, Arnhem, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Catheter Ablation / instrumentation,  methods*
Equipment Design
Equipment Failure Analysis
Humans
Laser Therapy / instrumentation*,  methods
Varicose Veins / surgery*
Vascular Surgical Procedures / instrumentation,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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