2012

Comparison of Early and Mid-term Outcomes of Endovenous Laser Ablation (EVLA) Treatment Versus Traditional Surgical Treatment in Vena Saphena Magna Insufficiency

Amaç: Bu retrospektif çalışmada izole ve tek taraflı semptomatik büyük safen ven yetmezliği olan hastalarda, endovenöz lazer ablasyon ve geleneksel cerrahi tedavi (büyük safen vene yüksek ligasyon ve safenektomi) sonrası kısa ve orta dönem klinik sonuçların karşılaştırılması amaçlandı. Gereç ve Yöntemler: Mart 2013 - Ağustos 2013 tarihleri arasında kliniğimizde geleneksel cerrahi tedavi (Grup 1; 35 hasta: 16 kadın, 19 erkek, ortalama yaş; 44. 3±12. 6 yaş, 20-68 yaş arası) ve endovenöz lazer ablasyon (EVLA) (Grup 2; 30 hasta: 20 kadın, 10 erkek, ortalama yaş; 39. 8±11.7 yaş, 20-65 yaş arası) tedavileri uygulanan 65 hasta bu çalışmaya dahil edildi. Her iki gruptaki hastalar özelliklerine göre karşılaştırıldı. Bulgular: Postoperatif 1. hafta ve 1. ay ağrı skorları karşılaştırıldığında EVLA yapılan hastalarda, diğer gruba göre istatistiksel olarak ağrı skorlarının daha düşük olduğu saptandı (p< 0.01). Buna karşın endovenöz lazer ablasyon uygulanan hastalarda preoperatif ağrı skorları arasında farklılık yoktu. 6. ay kontrolünde her iki grup hastada ağrı gözlenmediği saptandı. Postoperatif 1. hafta takibinde komplikasyon gelişme sıklığı EVLA yapılan hastalarda daha düşük saptandı fakat 1. ay ve 6. ay kontrollerinde istatistiksel farklılık saptanmadı. CEAP skorları EVLA hastalarında postoperatif takiplerinde istatistiksel olarak anlamlı olarak daha düşük iken preoperatif her iki grup arasında farklılık gözlenmedi. Sonuç: İzole, semptomatik ve tek taraflı büyük safen ven yetmezliklerinde, endovenöz lazer ablasyon tedavisinin kısa ve orta vadedeki daha iyi sonuçlarla geleneksel cerrahi tedaviye göre daha iyi tedavi metodu olduğunu gözlemledik.

Büyük Safen Ven Yetmezliğinde Endovenöz Lazer Ablasyon (EVLA) ve Geleneksel Cerrahi Tedavilerinin Kısa ve Orta Dönem Sonuçlarının Karşılaştırılması

Objective: In this retrospective study, we aimed to compare the short- term and mid- term clinical outcomes of endovenous laser ablation with traditional surgical treatment (high ligation and saphenectomy of Vena Saphena Magna) in patients with isolated unilateral symptomatic Vena Saphena Magna insufficiency. Materials and Methods: Sixty five patients who underwent traditional surgical treatment (Group 1; n: 35; 16 women, 19 men, mean age; 44.3 ± 12.6 years, range; 20 - 68 years) and endovenous laser ablation treatment (Group 2; n = 30; 20 women, 10 men, mean age; 39.8 ± 11.7 years, range; 20 - 65 years) between May 2013 and December 2013 were included in the study. Groups were compared according to their differences. Results: Pain scores of EVLA patients were significantly lower at postoperative first week and first month (p< 0.01), whereas, there was no significant difference preoperatively. No patient stated to have pain at postoperative 6th month. Frequency of complication development of EVLA patients was found to be lower at postoperative first week follow up but there was no statistically significant difference at 1st month and 6th month controls. CEAP scores of EVLA patients were significantly lower at postoperative follow-ups but there was no significant difference preoperatively. Conclusion: We observed that endovenous laser ablation is a better treatment modality with better short and mid-term outcomes than traditional surgical treatment in isolated symptomatic unilateral Vena Saphena Magna insufficiencies.

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