Abstract

HERNANDEZ-OSMA, E.; ALCOLEA, J.M.  and  TRELLES, M.A.. Efficacy of treatment with endo-luminal laser of the great saphenous and secondary insufficent troncal veins: long term ultrasound and statistical follow-up. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.1, pp.117-123. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000100016.

Endoluminal laser treatment is a valid alternative for elimination of dynamically insufficient great saphenous veins. Treatment is carried out under local anesthesia and/or with external cold air cooling; the procedure is not traumatic and has very little complications. We present a study on 120 limbs treated for insufficiency of the great saphenous vein with endoluminal laser on a total of 110 patients. Patients suffering from secondary varicose leg veins as a consequence of the great saphenous insufficiency were treated with polidocanol microfoam immediately after the endoluminal laser treatment. Patient control and follow-up was carried out over a mean period of 5 years. Recurrence observed was 11% over this period of time, which was analyzed to determine its origin and prompt action was taken for prevention of this recurrence. The endoluminal laser technique for the treatment of the great saphenous vein insufficiency is highly successful over medium and long term period, with results that are clearly better than those of classical stripping or similar techniques such as radiofrequency.

Keywords : Endoluminal laser; Great saphenous vein; Leg veins; Microfoam.

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