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120950

LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb

Article

Last updated: 22 Jan 2023

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Subjects

-

Tags

Surgery

Abstract

Background: Endovenous thermal techniques, such as endovenous laser ablation [EVLA], are the recommended treatment for varicose veins. Non-thermal techniques such as Mechanochemical ablation [MOCA] have potential benefits.
Aim of the work: To compare EVLA with MOCA in the treatment of primary varicose vein of the lower limb.
Patients and Methods: 40 patients who had primary great saphenous varicose veins [VV] admitted at the Vascular Surgery Department, Al-Azhar University Hospital, New Damietta, Egypt. They randomized into two equal groups each one included 20 patients group [1] treated by EVLA and group [2] treated by MOCA.
Results: The time of operation of studied patients ranged from 22 to 44 minutes, and there a statistically significant decrease in time of group 2 compared to group 1. [25.36±1.80 vs. 37.30±2.47 respectively]. Postoperative pain in studied patients ranged from 0 [no pain] to 7 [severe pain], there statistically significant decrease in pain of group 2 compared to group 1. As regard to induration, it was reported in 4 patients, representing 20% of group 1 [4] patients, were significant differences between groups 1 and 2 [20% vs. 0% respectively]. At the end of the sixth month postoperatively, as regard complete occlusion of the great saphenous vein [GSV] vein, there was statistically no significant difference between group 2 when compared to group 1 [92.5% vs. 95% respectively].
Conclusions: MOCA was associated with better results on short-term follow-up.

DOI

10.21608/ijma.2020.21429.1060

Keywords

Mechanochemical ablation, Phlebogriffe, Thermal ablation, Treatment, varicose veins

Authors

First Name

Mohamed

Last Name

Ahmed Abozeid

MiddleName

Abozeid

Affiliation

Department of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.abozeid2015@gmail.com

City

albohira

Orcid

0000-0001-9560-893X

First Name

Metwaly Ragab

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

metwaly.ragab.vs@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Gamal El-sayed

Last Name

Almaadawy

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.gamal.surg@domazhermedicine.edu.eg

City

Kafr Elshiekh

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2019-12-24

Publish Date

2021-01-01

Page Start

1,016

Page End

1,024

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1016-1024.pdf

PDF . 1.5MB

Link

https://ijma.journals.ekb.eg/article_120950.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=120950

Order

16

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023