A Comparison Of Mini-incisional Ligation, Laser Ablation And Cyanoacrylate Embolization For Incompetent Perforating Vein Closure
Journal Title: Dicle Tıp Dergisi - Year 2016, Vol 43, Issue 3
Abstract
Objective: Our aim was to compare the short- and the midterm results of three main methods of incompetent perforating vein treatment. Methods: Data of 174 procedures performed between January 2012 and January 2015, in a 84 consecutive patients with incompetent perforating veins were retrospectively analyzed. Patients were divided into 3 groups according to surgical technique: mini-incisional ligation 40 (47.6%), 22 (26.2%) endovenous laser ablation and 22 (26.2%) cyanoacrylate embolization. Preoperative, operative and early follow up data was recorded. All patients were called to assess by ultrasonography for recurrence. Results: Operation time was significantly longer in the mini-incisional ligation group (p<0.001). Cyanoacrylate group showed significantly lower hospital stay (p<0.001), duration of analgesia (p<0.001) and disability (p<0.001). Recurrence was not found in the ligation group (p<0.001), endovenous laser group showed significantly higher recurrence than the cyanoacylate group (p<0.001). Cosmetic problems (hyperpigmentation or scar tissue) were significantly higher in the mini-incisional ligation group (p =0.003). Paresthesia was detected after endovenous laser (p=0.001). Conclusion: Although ligation has still lowest rate of recurrence after incompetent perforating vein surgery, it is being replaced by the endovascular procedure due to cosmetic problems. Cyanoacrylate embolization seems to be a promising alternative for incompetent perforating veins treatment due to higher recurrence and complication rate after endovenous laser ablation. Key words: venous insufficiency, laser ablation, therapeutic embolization, ligation.
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Orçun Gürbüz
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- EP ID EP118202
- DOI 10.5798/diclemedj.0921.2016.03.0712
- Views 143
- Downloads 0
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