a 2013

Quality-of-life assessment in patients after endovenous laser therapy and conventional surgery for great saphenous varicose veins

VLACHOVSKÝ, Robert, Robert STAFFA, Tomáš NOVOTNÝ and Jan BUČEK

Basic information

Original name

Quality-of-life assessment in patients after endovenous laser therapy and conventional surgery for great saphenous varicose veins

Authors

Edition

2nd Annual Congress of the International Society for Vascular Surgery 2013), Feb 14-16, 2013, Miami, FL, USA, Program Book, 2013

Other information

Language

English

Type of outcome

Konferenční abstrakt

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Organization unit

Faculty of Medicine
Změněno: 8/1/2014 11:55, MUDr. Tomáš Novotný, Ph.D.

Abstract

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 6 months, 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.