ALT EKSTREMITE VARIKÖZ VENLERININ ENDOVENÖZ LAZER ABLASYONU: VASKÜLER GIRIŞ YERININ IŞLEME BAĞLI AĞRI ILE ILIŞKISININ RAPORLANMASI

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. Gereç ve Yöntemler: Çalışma izole küçük safen venöz yetmezlik tanısı alan 49 hastanın (35 kadın, 14 erkek) tıbbi dosyaları taranarak yapıldı. Endovenöz lazer ablasyonu tüm hastalarda 1470 nm emisyon dalga boyunda, proksimal ve distal girişlerde 7 Watt lazer enerjisi kullanılarak gerçekleştirildi. Ağrının değerlendirilmesi görsel analog skala kullanılarak 7. gün, 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

Endovenous Laser Ablation of Varicose Veins of the Lower Extremities: Report of the relationship Between Vascular Access And Procedural Pain

Objective: The aim of this study is to evaluate the effects of vascular access (proximal or distal) on postoperative pain inpatients diagnosed with isolated varicose small saphenous vein who underwent endovenous laser ablation.Materials and Methods: Medical records of 49 patients (35 female, 14 male) with isolated saphenous venous insufficiencywere reviewed. Endovenous laser ablation was performed in all patients at an emission wavelength of 1470 nm, using7 Watt laser energy at the proximal and distal ports. The pain was evaluated using a visual analog scale at 7 days, 1, 3and 6 months.Results: In 30 of the 49 patients, vascular access was performed from the distal to the below the knee section of thesmall saphenous vein and in 19 cases from proximal to the small saphenous vein. The results of these two groups showedthat access into the larger proximal part of the varicose vein provides an easy route with reduced local pain scores in theendovenous laser ablation of varicose veins (p

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