open access

Vol 21, No 4 (2015)
Original papers
Published online: 2016-06-23

A comparison of endovenous laser ablation and conventional surgery in patients with varicose veins of the lower limbs

Linas Velička, Mantas Kievišas, Vytenis Keturakis
DOI: 10.5603/AA.2015.0019
·
Acta Angiologica 2015;21(4):107-115.

open access

Vol 21, No 4 (2015)
Original papers
Published online: 2016-06-23

Abstract

Introduction. Even though EVLA is increasingly popular and together with other minimally-invasive techniques is rapidly replacing surgical stripping, surgical treatment is still widely used. Our study aimed to compare the clinical outcomes and the quality of life following either endovenous laser ablation (EVLA) or conventional surgery for varicose veins of the lower limbs.

Material and methods. This prospective non-randomised study included 299 patients, who were treated for symptomatic varicose veins of the lower limbs in two centres. In one, 159 patients underwent open surgery (the surgery group), while in the other, 140 patients received the EVLA (the EVLA group). The patients were invited to follow-up evaluations at six weeks, one year, and two years after the surgery.

Results. Disease-specific quality of life at six weeks was significantly better in the EVLA group (median AVVQ scores — 3.2 (2.1–8) vs. 9.2 (7.1–13.8), p < 0.001). Similarly, VCSS scores at six weeks were also better in the EVLA group (median VCSS scores — 1 (0–2) vs. 4 (3–6), p < 0.001). Patients in the EVLA group experienced less postoperative pain (p < 0.001), and therefore needed fewer supplementary analgesic drugs (p = 0.007). In addition, patients in the EVLA group managed to return to work and normal activities sooner than those in the surgery group (p < 0.001). No statistically significant differences were found between groups for clinical recurrence, overall satisfaction, rate of complications and secondary procedures.

Conclusions. Both treatment techniques yielded similar results in terms of efficacy, clinical recurrence rates and overall patient satisfaction. However, early postoperative results in the EVLA group were superior to those of patients in the surgery group.

Keywords

varicose veins, endovenous laser ablation (EVLA), open surgical treatment, quality of life, Aberdeen Varicose Vein Questionnaire (AVVQ), Venous Clinical Severity Score

About this article
Title

A comparison of endovenous laser ablation and conventional surgery in patients with varicose veins of the lower limbs

Journal

Acta Angiologica

Issue

Vol 21, No 4 (2015)

Pages

107-115

Published online

2016-06-23

DOI

10.5603/AA.2015.0019

Bibliographic record

Acta Angiologica 2015;21(4):107-115.

Keywords

varicose veins
endovenous laser ablation (EVLA)
open surgical treatment
quality of life
Aberdeen Varicose Vein Questionnaire (AVVQ)
Venous Clinical Severity Score

Authors

Linas Velička
Mantas Kievišas
Vytenis Keturakis

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