Less Painful Tumescent Solution for Patients Undergoing Endovenous Laser Ablation of the Saphenous Vein

Efficacy of topical local anaesthesia to reduce perioperative pain for endovenous laser ablation of varicose veins: a double-blind randomized controlled trial

“…Perioperative pain scores and analgesia use noted were similar to VAS scores from other EVLA studies [Gunes et al 2015; Elderman et al 2014], demonstrating that the clinical technique and pain assessment methods are comparable with other studies. The distal to proximal approach (rather than proximal to distal) of injecting perivenous tumescence was used, which has been demonstrated to be optimal for the patient in terms of pain from tumescent injections and number of puncture sites required [Kutas et al 2015].…”

Satisfactory result of great saphenous vein endovenous laser ablation until below the knee on active venous leg ulcer: a case series

“…Tumescent anesthesia is used in EVLA to prevent thermal-induced tissue damage, compressing the size of the vein to be treated to allow better energy absorption, as well as allowing early mobilization and reducing the risk of DVT where EVLA without tumescence has an incidence of approximately 36.5% of nerve-related paresthesia. 14,17,18 Reducing the number of punctures while administering tumescent anesthesia also logically reduces the incidence of nerve injury. 10 We administered DUS-guided tumescent anesthesia in our patients and at follow-up, our patients did not show any signs or symptoms of nerve injury.…”