Quality-of-Life Assessment in Patients after Endovenous Laser
Therapy and Conventional Surgery for Great Saphenous Varicose
Veins

a 2012

Quality-of-Life Assessment in Patients after Endovenous Laser Therapy and Conventional Surgery for Great Saphenous Varicose Veins

VLACHOVSKÝ, Robert; Robert STAFFA a Tomáš NOVOTNÝ

Základní údaje

Originální název

Quality-of-Life Assessment in Patients after Endovenous Laser Therapy and Conventional Surgery for Great Saphenous Varicose Veins

Autoři

VLACHOVSKÝ, Robert; Robert STAFFA a Tomáš NOVOTNÝ

Vydání

XXV World Congress of the International Union of Angiology, Praha, International Angiology, Vol. 31, Suppl. 1 to issue No. 3,, p 189, 2012

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.462

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

ISSN

Změněno: 2. 11. 2013 15:08, MUDr. Tomáš Novotný, Ph.D.

Anotace

V originále

Objective. The reduction of the symptoms associated with chronic venous insufficiency remains the main goal of conventional or endovenous varicose vein ablation. Our prospective study was designed to compare quality-of-life outcomes following endovenous laser treatment and surgery using venous clinical severity score (VCSS). Methods. Between September 2009 and April 2011, 112 patient underwent saphenous vein surgery (56 laser ablation and 56 traditional surgery procedure). In both nonrandomized groups, preoperative VCSS were documented and clinical and duplex examinations were performed at 7 days, 4 weeks and 6 months after procedure. VCSS scoring was repeated at follow-up visits. Results. Preoperative, 7 days, 4 weeks and 6 months VCSS scores were, respectively, 8,2 +- 2,3 in 56 limbs, 5,9 +- 2,0 in 51 limbs, 5,5 +- 2,1 in 45 limbs and 3,4 +- 1,5 in 42 limbs in surgery group. Preoperative, 7 days, 4 weeks and 6 months VCSS scores were, respectively 8,1 +- 2,5 in 56 limbs, 4,9 +- 2,1 in 54 limbs, 3,9 +- 1,9 in 49 limbs and 3,2 +- 1,4 in 48 limbs in endovenous group. VCSS scores were significantly better in the EVLT group at 7 days and at 4 weeks (P < 0,001). At 12 weeks, no significant differences were evident between the groups. Conclusion. Treatment of saphenous vein reflex with both types of procedure results in clinical improvement of symptoms. In the early postoperative period, endovenous laser therapy removes quality-of-life limitations of the traditional surgery. We found VCSS to be a good tool for assessing outcomes after varicose vein procedures.

Citovat

VLACHOVSKÝ, Robert; Robert STAFFA a Tomáš NOVOTNÝ. Quality-of-Life Assessment in Patients after Endovenous Laser Therapy and Conventional Surgery for Great Saphenous Varicose Veins. In XXV World Congress of the International Union of Angiology, Praha, International Angiology, Vol. 31, Suppl. 1 to issue No. 3,, p 189. 2012. ISSN 0392-9590.

@proceedings{1086690,
   author = {Vlachovský, Robert and Staffa, Robert and Novotný, Tomáš},
   booktitle = {XXV World Congress of the International Union of Angiology, Praha, International Angiology, Vol. 31, Suppl. 1 to issue No. 3,, p 189},
   language = {eng},
   title = {Quality-of-Life Assessment in Patients after Endovenous Laser Therapy and Conventional Surgery for Great Saphenous Varicose Veins},
   year = {2012}
}

TY  - CONF
ID  - 1086690
AU  - Vlachovský, Robert - Staffa, Robert - Novotný, Tomáš
PY  - 2012
TI  - Quality-of-Life Assessment in Patients after Endovenous Laser Therapy and Conventional Surgery for Great Saphenous Varicose Veins
N2  - Objective. The reduction of the symptoms associated with chronic venous insufficiency remains the main goal of conventional or endovenous varicose vein ablation. Our prospective study was designed to compare quality-of-life outcomes following endovenous laser treatment and surgery using venous clinical severity score (VCSS). Methods. Between September 2009 and April 2011, 112 patient underwent saphenous vein surgery (56 laser ablation and 56 traditional surgery procedure). In both nonrandomized groups, preoperative VCSS were documented and clinical and duplex examinations were performed at 7 days, 4 weeks and 6 months after procedure. VCSS scoring was repeated at follow-up visits. Results. Preoperative, 7 days, 4 weeks and 6 months VCSS scores were, respectively, 8,2 +- 2,3 in 56 limbs, 5,9 +- 2,0 in 51 limbs, 5,5 +- 2,1 in 45 limbs and 3,4 +- 1,5 in 42 limbs in surgery group. Preoperative, 7 days, 4 weeks and 6 months VCSS scores were, respectively 8,1 +- 2,5 in 56 limbs, 4,9 +- 2,1 in 54 limbs, 3,9 +- 1,9 in 49 limbs and 3,2 +- 1,4 in 48 limbs in endovenous group. VCSS scores were significantly better in the EVLT group at 7 days and at 4 weeks (P < 0,001). At 12 weeks, no significant differences were evident between the groups. Conclusion. Treatment of saphenous vein reflex with both types of procedure results in clinical improvement of symptoms. In the early postoperative period, endovenous laser therapy removes quality-of-life limitations of the traditional surgery. We found VCSS to be a good tool for assessing outcomes after varicose vein procedures.
ER  -

VLACHOVSKÝ, Robert; Robert STAFFA a Tomáš NOVOTNÝ. Quality-of-Life Assessment in Patients after Endovenous Laser Therapy and Conventional Surgery for Great Saphenous Varicose Veins. In \textit{XXV World Congress of the International Union of Angiology, Praha, International Angiology, Vol. 31, Suppl. 1 to issue No. 3,, p 189}. 2012. ISSN~0392-9590.

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