Reffat, S., El Yamani, M., Taha, A., El-Zayat, E. (2016). Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins. Suez Canal University Medical Journal, 19(2), 174-183. doi: 10.21608/scumj.2016.116169
Sherif Reffat; Mohammed El Yamani; Ahmed Taha; El-Sayed El-Zayat. "Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins". Suez Canal University Medical Journal, 19, 2, 2016, 174-183. doi: 10.21608/scumj.2016.116169
Reffat, S., El Yamani, M., Taha, A., El-Zayat, E. (2016). 'Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins', Suez Canal University Medical Journal, 19(2), pp. 174-183. doi: 10.21608/scumj.2016.116169
Reffat, S., El Yamani, M., Taha, A., El-Zayat, E. Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins. Suez Canal University Medical Journal, 2016; 19(2): 174-183. doi: 10.21608/scumj.2016.116169
Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins
Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
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.
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