Alt ekstremite variköz venlerinin endovenöz lazer ablasyonu: proksimal ve distal yollardaki sonuçların raporlanması

Amaç:Bu çalışmanın amacı izole variköz küçük safen ven tanısı alan ve endovenöz lazer ablasyon uygulanan hastalarda vasküler giriş yolunun (proksimal veya distal) postoperatif ağrı üzerine olan etkilerini değerlendirmektir. Hastalar ve Yöntem:Çalışma varisli safen ven tanış alan 49 hastanın (35 kadın, 14 erkek) tıbbi dosyaları kullanılarak yapıldı. Endovenöz lazer ablasyonu 1470 nm emisyon dalga boyunda lazer enerjisi kullanılarak gerçekleştirildi. Ağrının değerlendirilmesi görsel analog skala kullanılarak 7., 1., 3. ve 6. aylarda yapıldı. Bulgular:Kırk dokuz hastadan 30\'unda küçük safen veninin dizaltı distal kesiminden ve 19\'unda da küçük safen venin proksimalinden giriş yapıldı. Bu iki grubun sonuçları variköz venin proksimal geniş olan kısmından erişilebilmesinin, variköz venlerin endovenöz lazer ablasyon tedavisinde azalmış lokal ağrı skorları ile kolay bir yol sağladığını göstermiştir (p <0.001). Sonuç:İzole variköz küçük safen ven tanısı alan ve endovenöz lazer ablasyon uygulanan hastalarda vasküler giriş yolunun (proksimal veya distal) postoperatif ağrı üzerine anlamlı bir etkisi olmasa da, proksimal giriş yolunun daha kolay erişildiği ve bu yolla işlemin daha kısa sürdüğü görülmüştür.

Endovenous laser ablation of lower limb varicose veins: report of results in proximal and distal routes

Purpose:The aim of this study is to evaluate the effects of vascular access (proximal or distal) on postoperative pain in patients diagnosed with isolated varicose small saphenous vein who underwent endovenous laser ablation. Patients and Methods:Medical records of 49 patients (35 female, 14 male) with isolated saphenous venous insufficiency were reviewed. Endovenous laser ablation was performed in all patients at an emission wavelength of 1470 nm, using 7 Watt laser energy at the proximal and distal ports. Pain was evaluated using visual analog scale at 7 days, 1, 3 and 6 months. Results:In 30 of the 49 patients vascular access was performed from the distal to the below the knee section of the small saphenous vein and in 19 cases from proximal to the small saphenous vein. The results of these two groups showed that access into the larger proximal part of the varicose vein provides an easy route with reduced local pain scores in endovenous laser ablation of varicose veins (p <0.001). Conclusion:In patients diagnosed with isolated varicose small saphenous vein and undergoing endovenous laser ablation, the vascular access route (proximal or distal) did not have a significant effect on postoperative pain, but the proximal route was more easily accessed and the procedure lasted shorter.

Keywords:

Laser therapy saphenous vein, Visual Analog Scale,

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