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
2011 SCImago Journal Rankings: 0.054
ReferencesReferences in Scopus
DC Field
Value
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
2011 SCImago Journal Rankings: 0.054
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
Author Affiliations
  1. The University of Hong Kong
  2. Tung Wah Hospital
  3. National University Hospital, Singapore