Evaluation of Endovenous Laser Ablation in Management of Varicose Veins

Abstract

Background: There have been tremendous changes to the treatment of varicose veins over the years. High ligation of the SFJ and stripping of the GSV have been considered as standard treatments for GSV insufficiency for more than one century and it is still adopted as the preferred method in the majority of the surgical centers. Aim of the Work: To discuss the advances in the treatment of varicose veins and their advantages over traditional methods in an attempt to choose the best method of treatment with least complications and highest success rate of cure and to review the recently advanced endovenous laser ablation as a promising line of management of primary varicose veins. Patients and Methods: This observational prospective was conducted on 30 patients 30 patients with varicose veins in multiple centers carrying out endovenous laser ablation.during the period from October 2017 till March 2018. Results: After the EVL ablation +/- sclerotherapy, no major complications occurred, minor complication however, was quite common and included bruising (33.3%), ecchymosis (16.6%), postoperative pain (66%) that require analgesic, superficial thrombophlebitis (16.6%) and skin burn (3.3%). Conclusion: EVLA is continuing to be an outstanding minimal invasive method for treatment of varicose veins with minimal complications and a very short recovery period which sounds appealing to the patients.