Endo vascular laser ablation of varicoseveins –our experience in a tertiary care centre in western india

Narendra Nikam., Ali Zaid Anwar., Tejas Nikumbh ., Amarjeet Tandur., Sandeep Darbastwar and Abhijeet Joshi

Objective – To compare short term outcomes after EVLA in tropical conditions

Method – A total of 100 patients underwent endovenous laser ablation with a total of 100 lower limbs were operated and these patients were analyzed for the complication of laser ablation such as hyperchromia, Deep venous thrombosis, pulmonary embolism, paresthesia and painin the way of a prospective trial.Inthis study the 1470-nm diode laser was used for ablation

Results – Out of the many patients who were operated the only 4(4 %) patients developed ulcer and there were no cases of DVT, pulmonary thromboembolism, 6(6%) patients of venous reflux, and 9 (9%) patients developed hyperchromia and 7(7%) patients developed persistent post operative pain lasting more than 7 days which was evaluated by phi square independence test it was found to be statistically significant (p <0.001). It shows that with passage of time there was reduction of severity of pain in patients. When the mean VAS score was carried out at different time interval which was not quite statistically significant after applying ANOVA test (p value 0.06)

Conclusion – Our case series shows that the endo venous laser ablation using 1470 nm diode laser is a highly effective treatment with less number of post operative complications

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DOI: http://dx.doi.org/10.24327/23956429.ijcmpr20170229
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