Original Articles
Assessment of outcomes of Endovenous Laser treatment of varicose veins at NIMS Hospital and Research center | |
Dr. Alisha Sheikh, Dr. Surendra Pal Jakhar, Dr. Harsh, Dr. Lalta Prasad Verma | |
Background: Varicose veins are a common problem and one of the most prevalent medical disorders affecting approximately 10 to 40% of the general population. The present study was conducted to assess outcomes of Endovenous Laser treatment of varicose veins at NIMS hospital and Research center. Materials & Methods: 73 varicose veins patients of age between 18 And 70 either sex coming to General Surgery OPD/IPD of National Institute of Medical Sciences and Research Center, Jaipurunderwent Endovenous Laser Therapy [EVLT] under local anaesthesia under ultrasonography guidance using 980 nm diode laser. Patients were followed up after 1 week, 1 month, 3 months and 6 months and regression of symptoms along with occurrence of any complications were noted. Results: According to VAS score, the majority of the 53.4% patients had no pain at baseline, followed by 30.1% patients had mild to moderate pain, 11% patients had moderate pain and 5.14% patients had moderate to severe pain at baseline level. The mean VAS score for pain was 1.60±1.846. No pain was recorded at 1st week, 3rd months and 6th months. The majority of the patients at baseline, 1st week and 3rd months had normal wound infection. 6.8% patients had grade 2 (erythema plus other signs of inflammation) and 2.7% patients had (clear or haemoserous discharge) at baseline. On 1st week, 9.6% patients had recorded grade II scoring and 2.7% patients had recorded grade I scoring at 3rd months. No wound infection was found at 6th month.Hematoma was found in 27.4% patients at baseline and 4.1% patients at 1st week follow-up.Paresthesia was found in only 13.7% patients at baseline follow up. Hyperpigmentation was found in 41.1% patients at baseline, followed by 13.7% patients at 3rd month and 4.1% patients at 1st week follow-up. Pulmonary Embolism was found in only 2.7% patients at 3rd month follow-up. Conclusion: Endovenous laser treatment of varicose veins in the great saphenous vein with the 980 nm diode laser is safe and highly effective. Our study suggests that improved outcomes are associated with higher energy EVLA of varicose veins, 98% of cases were successfully treated and 94% of treated veins were completely eradicated. |
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