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116169

Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins

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Last updated: 22 Jan 2023

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Abstract

Background: New modalities in the Endo Venous Laser Ablation (EVLA) include the new design of the laser catheter tip is claimed to distribute more effectively the laser beam to the targeted varicose vein (VV) wall and therefore to achieve better results and produce fewer complications. These favorable results support the previously suggested better outcome of the EVLA compared to the open procedure. Aim: This study was conducted to confirm this assumption. Patients and Methods: 81 patients scheduled for treatment of VV were included and were divided into 3 equal groups. EVLA was used with a bare tip fiber for the first group and compared to a second group treated with a radial fiber. The success rate and postoperative results of both groups were compared to each other, then the mean results of EVLA group as a whole were compared to a third control group treated by surgical stripping. Results: There was no statistically significant difference between both EVLA groups. One patient (3.7%), from the bare tip group, had incomplete ablation that necessitated surgical excision. Fewer complications, shorter hospital stay, early return to work, and faster reduction in venous clinical severity score (VCSS) were noted among the EVLA compared to the open group. Conclusion: EVLA using bar tip or radial fibers is effective and safe in treating vv with similar results. Their results are as effective as the open procedure with a shorter hospital stay, fewer complications, and early return to work.

DOI

10.21608/scumj.2016.116169

Keywords

Endovenous laser ablation, bare tip, radial, varicose veins

Authors

First Name

Sherif

Last Name

Reffat

MiddleName

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Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

shrefat@hotmail.com

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Orcid

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First Name

Mohammed

Last Name

El Yamani

MiddleName

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Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

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Orcid

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First Name

Ahmed

Last Name

Taha

MiddleName

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Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

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City

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Orcid

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First Name

El-Sayed

Last Name

El-Zayat

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

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Orcid

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Volume

19

Article Issue

2

Related Issue

6814

Issue Date

2016-10-01

Receive Date

2020-09-30

Publish Date

2016-10-01

Page Start

174

Page End

183

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_116169.html

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https://scumj.journals.ekb.eg/service?article_code=116169

Order

8

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023