ADVANCED TECHNOLOGIES IN THE TREATMENT OF CHRONIC VENOUS INSUFFICIENCY - LONGTERM RESULTS

Autor/autori: Asistent univ. Dr. Iulian AVRAM (Romania, Germania), Asistent univ. Dr. Ana-Maria UNGUREANU, S.l. Dr. Caius DOROS, Dr. Mihaela AVRAM, Asistent univ. Dr.med. Mihai BALINT, Dr. Mihaela PASZTORI

Rezumat: Sursele de energie (laser si radiofrecventa) au inceput sa fie utilizate in tratamentul bolii varicoase doar de la inceputul secoluli 21, fiind actualmente considerate de catre un numar tot mai mare de chirurgic actualmente “standardul de aur” in tratamentul insuficientei venoase. Am aplicat aceasta metoda in perioada 1.09.2009-30.12.20120 la un numar de 50 de pacienti cu boala varicoasa. In prezenta lucrare analizam rezultatele la distanta, dupa o perioada de urmarire de 3 ani. In aceasta perioada pacientii au fost examinati la 3 respectiv 6 luni postperator si apoi anual. Din totalul de 50 de pacienti doar 27 s-au preyentat la controalel epostoperatorii. Dintrea acestia am observat recidiva in 2 cazuri, dar cu reflux semnificativ intr/un singur caz. Rezultatele obtinute cu aceasta tehnica s-au dovedit a fi similar cu cele ale tehnicii chirurgicale clasice

Cuvinte cheie: tratament laser, radiofrecventa, terapie laser endovenoasa, EVLT, varice


Abstract: Since the beginning of the 21st century energy sources (laser and radiofrequency) are successfully applied in the treatment of varicose disease, being considered by many surgeons nowadays the “gold standard” in treatment of chronic venous insufficiency. From 1.09.2009 to 30.05.2010 we treated 50 patients with great saphenous vein (GSV) insufficiency using the EVLT treatment. In this paper we verify and analyze the long-term results of this advanced technique, after a follow-up period of 3 years, and compare the results with those of the classic surgical technique. Patients were examined at 3 and 6 month postoperatively, then every 12 months. The follow-up exam included clinical examination and venous ultrasound of the lower limbs. Only 27 patients out of 50 completed the follow-up. Repermeabilization of the GSV was noted only in 2 patients (%), but with significant reflux only in 1 patient, results being similar with those of the classic technique

Keywords: laser treatment, radiofrequency, endovenous laser therapy, EVLT, varicose veins

 

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