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Article: Day surgery varicose vein treatment using endovenous laser
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TitleDay surgery varicose vein treatment using endovenous laser
 
AuthorsHo, P1 3
Poon, JTC1
Cho, SY2
Cheung, G1
Tam, YF2
Yuen, WK2
Cheng, SWK1
 
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
 
CitationHong 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.
 
ISSN1024-2708
2012 SCImago Journal Rankings: 0.255
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorHo, P
 
dc.contributor.authorPoon, JTC
 
dc.contributor.authorCho, SY
 
dc.contributor.authorCheung, G
 
dc.contributor.authorTam, YF
 
dc.contributor.authorYuen, WK
 
dc.contributor.authorCheng, SWK
 
dc.date.accessioned2010-05-31T04:00:47Z
 
dc.date.available2010-05-31T04:00:47Z
 
dc.date.issued2009
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationHong Kong Medical Journal, 2009, v. 15 n. 1, p. 39-43 [How to Cite?]
 
dc.identifier.epage43
 
dc.identifier.hkuros154612
 
dc.identifier.issn1024-2708
2012 SCImago Journal Rankings: 0.255
 
dc.identifier.issue1
 
dc.identifier.openurl
 
dc.identifier.pmid19197095
 
dc.identifier.scopuseid_2-s2.0-61849173409
 
dc.identifier.spage39
 
dc.identifier.urihttp://hdl.handle.net/10722/59952
 
dc.identifier.volume15
 
dc.languageeng
 
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofHong Kong Medical Journal
 
dc.relation.referencesReferences in Scopus
 
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.
 
dc.subject.meshAdult
 
dc.subject.meshAged
 
dc.subject.meshAmbulatory Surgical Procedures - instrumentation - methods
 
dc.subject.meshAnesthesia, Local
 
dc.subject.meshFemale
 
dc.subject.meshHong Kong
 
dc.subject.meshHumans
 
dc.subject.meshLaser Therapy - instrumentation - methods
 
dc.subject.meshMale
 
dc.subject.meshMiddle Aged
 
dc.subject.meshOutpatient Clinics, Hospital
 
dc.subject.meshPain Measurement
 
dc.subject.meshProspective Studies
 
dc.subject.meshSaphenous Vein - surgery - ultrasonography
 
dc.subject.meshTreatment Outcome
 
dc.subject.meshUltrasonography, Doppler, Duplex
 
dc.subject.meshVaricose Veins - surgery - ultrasonography
 
dc.subjectAmbulatory surgical procedures
 
dc.subjectLaser therapy
 
dc.subjectSaphenous vein
 
dc.subjectVaricose vein
 
dc.titleDay surgery varicose vein treatment using endovenous laser
 
dc.typeArticle
 
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<contributor.author>Cheung, G</contributor.author>
<contributor.author>Tam, YF</contributor.author>
<contributor.author>Yuen, WK</contributor.author>
<contributor.author>Cheng, SWK</contributor.author>
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<description.abstract>Objective: 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&apos; 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.</description.abstract>
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<subject>Ambulatory surgical procedures</subject>
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<subject>Varicose vein</subject>
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<subject.mesh>Treatment Outcome</subject.mesh>
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<subject.mesh>Varicose Veins - surgery - ultrasonography</subject.mesh>
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Author Affiliations
  1. The University of Hong Kong
  2. Tung Wah Hospital
  3. National University Hospital, Singapore