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Comparative effectiveness of endovenous laser coagulation techniques in preventing recurrences of varicose vein disease in the lower extremities

Year: 2025

Type: article

Abstract: Introduction . In recent years, endovenous laser coagulation (EVLC) has become the primary method for treating varicose vein disease of the lower extremities. However, the long-term clinical outcomes of EVLC are similar to those of classical surgical interventions, while the anatomical causes of recurrence identified through duplex scanning differ. Aim . To compare the recurrence rates of varicose vein disease after isolated EVLC of the great saphenous vein (GSV) and a combined procedure that includes the anterior accessory vein (AASV) in the long-term postoperative period. Materials and methods . A comparative study was conducted involving 162 individuals with varicose veins in the legs. All participants underwent EVLC of the GSV. The patients were divided into two groups: Group I consisted of 81 individuals who underwent isolated EVLC of the GSV; Group II included 81 individuals who underwent combined EVLC of the GSV and AASV. Results . Early postoperative complications revealed no statistically significant differences between the groups. According to the results of follow-up ultrasound duplex scanning performed three years after the surgery in Group I (EVLC of GSV), the reflux rate in the thigh area was statistically significantly higher at 15 (18.5%) compared to Group II 1 (1.2%) (EVLC of GSV + AA SV). This difference was statistically significant (p < 0.05). Discussion . The studies show that preventive EVLC of the AASV significantly reduces the recurrence rates of varicose vein disease by 25%. Conclusions. Obliteration of the AASV, regardless of the presence of reflux and their size, is a justified strategy for reducing the number of recurrences in the long-term postoperative period.

Source: Ambulatornaya khirurgiya = Ambulatory Surgery (Russia)

DOI: 10.21518/akh2025-037

Authors: A. V. Gavrilenko, P. E. Vakhrat’ian, M. V. Ananyeva, A. A. Beznebeeva, A. A. Borodina, D. V. Manashirova, P. I. Grigorian, E. A. Zhmakina, A. U. Ukhumasultanov, R. R. Kannieva, A. R. Ramazanova, S. S. Kelbihanova, S. A. Nasurova, R. M. Jaru

Institutions: Sechenov University, Russian Scientific Center of Surgery, Dagestan State Medical University, Kazan State Medical University, Kursk State Medical University

Language: English

Topic: Diagnosis and Treatment of Venous Diseases

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411210722

FWCI:

Cites: 28

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Related to: 10