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Vascular Surgery 2019
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
Page 74
March 28-29, 2019
Rome, Italy
Vascular Surgery
4
th
Edition of World Congress & Exhibition on
J Vasc Endovasc Therapy 2019, Volume 4
DOI: 10.21767/2573-4482-C1-006
Endovenous Laser Ablation versus Conventional Surgery-
long term comparative study in treating varicose veins
Ahmed M Morshed, Mohammed Farag, Ayman elnakeeb
and
Abdelsalam
Megahed
Mansoura University, Egypt
C
hronic vein insufficiency of the lower extremities
is one of the most common benign diseases. It is
estimated that varicose veins in the distribution of the
great saphenous vein (GSV) are present in about 25% of
women and 15% of men. It seems that the appearance
and evolution of the disease occur due to multiple
factors but mainly the modern lifestyle, characterized
by sedentarity, lack of exercise and obesity. Surgery was
the gold standard in the treatment of varicose veins. For
several decades high ligation at the saphenofemoral
junction (SFJ) and stripping of the GSVwas the treatment
of choice in order to eradicate the diseased vein.
Insufficiency of the small saphenous vein (SSV) is treated
in a similar way, by ligation at the saphenopopliteal
junction (SPJ) and stripping. In the last years, in the era
of minimally invasive surgery, new techniques in the
treatment of varicose veins, such as the endovenouslaser
ablation (EVLA), have been introduced. In 1999, the first
report on EVLA appeared in the literature. Using an 810
– nm diode laser, Bonè first reported the delivery of end
luminal laser energy for the treatment of the insufficient
GSV. In this study we will compare the outcome of
laser ablation and conventional surgery in treatment of
patients with varicose veins regarding the immediate
postoperative results, pain, recurrence rate and socio-
economic aspects of life with a period of 2 years.
a.mosaad@mans.edu.eg