Treatment of varicose veins – Surgery/ Laser

Abstract

Introduction: According to statistics damage venous circulation of the lower extremities are among the most common diseases in the world. Although the treatment varicose veins (VV) modernized using non-invasive-endovenous procedures, forecast on short term is not quite satisfactory. Aim of this study was to examine the results of treatment vv lower extremities to the appearance of improving the quality of life and the emergence of recurrence 1 year after operating (OP) and endovenous laser ablation (EVLA) treatment. Methods: VV patients who were operated classic surgical method (OP) were the OP group (n-36) and the patients who were treated EVLA method were the EVLA group (n-36). We studied quality of life the patients after 1 year of treatment by Aberdeen's questionnaire and the occurrence of recurrence. Results: Between the two groups there was no difference in terms of risk factors before OP / EVLA treatment, as well as in terms of disease severity assessed CEAP classifi cation. Quality of life after 1 year showed that there were no differences between the two groups (5.288 / 7.444, p <0.076). However, symptoms of patients in both groups improved after 1 year of intervention, the pain is to reduce the OP group to 61%, in EVLA group by 87% (p <0.017) Also, after 1 year there was no signifi cant difference in recurrence occurs between OP and EVLA group. (10/36 to 27.8% in the group of OP 6/36 to 16.7 %% in EVLA group). Of the risk factors in multivariate analysis on the phenomenon of recurrence a previous deep vein thrombosis was signifi cantly infl uenced (p = 0.011). Conclusion: Patients after 1 year of treatment OP or EVLA of varicose veins had signifi cantly fewer symptoms, particularly patients who were EVLA group Differences between groups were not signifi cant in terms of the recurrence and the quality of life.