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Article: Day surgery varicose vein treatment using endovenous laser

TitleDay surgery varicose vein treatment using endovenous laser
Authors
KeywordsAmbulatory surgical procedures
Laser therapy
Saphenous vein
Varicose vein
Issue Date2009
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2009, v. 15 n. 1, p. 39-43 How to Cite?
AbstractObjective: To examine the safety and efficacy of endovenous laser obliteration to treat varicose vein in a day surgery setting, using sedation and local anaesthesia. Design: Prospective study. Setting: Day surgery centre in a regional hospital in Hong Kong. Patients: A total of 24 patients with duplex-confirmed long saphenous vein insufficiency underwent endovenous laser (940 nm) varicose vein treatment from July to November 2007 in a single day surgery centre. Adjuvant phlebectomy and injection sclerotherapy were performed in the same session if indicated. All patients had post-procedural venous duplex scan and clinic assessment on day 7 and day 10 respectively. Main outcome measures: Procedure success rate, unplanned hospital admissions and re-admissions, major complications, and long saphenous vein obliteration rate. Results: A total of 31 limbs of the 24 patients were treated with endovenous laser varicose vein treatment under local anaesthesia and sedation. The procedural success rate was 100%. All but two patients were admitted on the day of treatment and none were re-admitted. The patients' mean visual analogue pain score for the whole procedure was 2.3 (standard deviation, 1.5; range, 0-5). Post-procedural duplex scans showed 100% thrombosis of the treated long saphenous veins with no deep vein thrombosis. There were no skin burns or instances of thrombophlebitis. Induration of the treated long saphenous vein was relatively common (54%). The majority of the patients (54%) experienced mild discomfort in the early postoperative period. Conclusion: Endovenous laser varicose vein treatment performed under local anaesthesia and sedation in a day surgery setting is safe, and yields satisfactory clinical and duplex outcomes.
Persistent Identifierhttp://hdl.handle.net/10722/59952
ISSN
2014 Impact Factor: 0.872
2014 SCImago Journal Rankings: 0.237
References

 

DC FieldValueLanguage
dc.contributor.authorHo, Pen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorCho, SYen_HK
dc.contributor.authorCheung, Gen_HK
dc.contributor.authorTam, YFen_HK
dc.contributor.authorYuen, WKen_HK
dc.contributor.authorCheng, SWKen_HK
dc.date.accessioned2010-05-31T04:00:47Z-
dc.date.available2010-05-31T04:00:47Z-
dc.date.issued2009en_HK
dc.identifier.citationHong Kong Medical Journal, 2009, v. 15 n. 1, p. 39-43en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59952-
dc.description.abstractObjective: To examine the safety and efficacy of endovenous laser obliteration to treat varicose vein in a day surgery setting, using sedation and local anaesthesia. Design: Prospective study. Setting: Day surgery centre in a regional hospital in Hong Kong. Patients: A total of 24 patients with duplex-confirmed long saphenous vein insufficiency underwent endovenous laser (940 nm) varicose vein treatment from July to November 2007 in a single day surgery centre. Adjuvant phlebectomy and injection sclerotherapy were performed in the same session if indicated. All patients had post-procedural venous duplex scan and clinic assessment on day 7 and day 10 respectively. Main outcome measures: Procedure success rate, unplanned hospital admissions and re-admissions, major complications, and long saphenous vein obliteration rate. Results: A total of 31 limbs of the 24 patients were treated with endovenous laser varicose vein treatment under local anaesthesia and sedation. The procedural success rate was 100%. All but two patients were admitted on the day of treatment and none were re-admitted. The patients' mean visual analogue pain score for the whole procedure was 2.3 (standard deviation, 1.5; range, 0-5). Post-procedural duplex scans showed 100% thrombosis of the treated long saphenous veins with no deep vein thrombosis. There were no skin burns or instances of thrombophlebitis. Induration of the treated long saphenous vein was relatively common (54%). The majority of the patients (54%) experienced mild discomfort in the early postoperative period. Conclusion: Endovenous laser varicose vein treatment performed under local anaesthesia and sedation in a day surgery setting is safe, and yields satisfactory clinical and duplex outcomes.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.en_HK
dc.subjectAmbulatory surgical proceduresen_HK
dc.subjectLaser therapyen_HK
dc.subjectSaphenous veinen_HK
dc.subjectVaricose veinen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAmbulatory Surgical Procedures - instrumentation - methodsen_HK
dc.subject.meshAnesthesia, Localen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLaser Therapy - instrumentation - methodsen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshOutpatient Clinics, Hospitalen_HK
dc.subject.meshPain Measurementen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshSaphenous Vein - surgery - ultrasonographyen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.subject.meshUltrasonography, Doppler, Duplexen_HK
dc.subject.meshVaricose Veins - surgery - ultrasonographyen_HK
dc.titleDay surgery varicose vein treatment using endovenous laseren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=15&issue=1&spage=39&epage=43&date=2009&atitle=Day+surgery+varicose+vein+treatment+using+endovenous+laseren_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid19197095en_HK
dc.identifier.scopuseid_2-s2.0-61849173409en_HK
dc.identifier.hkuros154612en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-61849173409&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue1en_HK
dc.identifier.spage39en_HK
dc.identifier.epage43en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridCho, SY=26321312300en_HK
dc.identifier.scopusauthoridCheung, G=15052803300en_HK
dc.identifier.scopusauthoridTam, YF=27467961800en_HK
dc.identifier.scopusauthoridYuen, WK=7102761292en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK

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