The problem of recurrence of varicose disease in the perspective of the use of endovascular thermal techniques: an analysis of own experience
DOI:
https://doi.org/10.24144/2415-8127.2018.57.22-25Keywords:
endovasal laser coagulation, radiofrequency obliteration, recurrence, varicose veins, foam sclerotherapy.Abstract
Over the last decade, minimally invasive techniques have in fact replaced the "classic" surgery of varicose veins in the world and actively supplant it in Ukraine. But it is still not possible to radically reduce the risk of recurrence in comparison with "classical" surgery, besides the application of these methods for the treatment of recurrent forms of varicose veins (RFVV) is a significant challenge, even for an experienced phlebologist. The aim of the study was to evaluate the frequency of RFVV after application of endovascular thermal (ET) techniques and to show the results of the use of ET techniques in the treatment of RFVV. Materials and methods. The unannounced retrospective study for the period from November 2015 to April 2018 included 420 patients undergoing ET techniques, which included 86 (20.48%) patients with RFVV, of which 19 (4.52%) of patients with RFVV after treatment at your own base. Patients with RFVV underwent endovasal laser treatment (EVLT) and\or ultrasound- controlled foam sclerotherapy (UFS). 38 (44,19%) patients had EVLT, 28 (32.56%) patients UFS, 20 (23.25%) patients had EVLT in combination with UFS. After 3, 6 and 12 months, in 81 (94.19%) cases occlusion of the treated vein was observed, and in 5 (5.81%) cases a new reflux on the treated limb emerged. In all cases, the quality of life improved – the average number of VCSS points was: before treatment 5.2, in 1 month after – VCSS was 1.9; in 6 and 12 months, the number of VCSS points was 1.3. Conclusion. Repeated use of minimally invasive techniques in patients with RFVV is a technically challenging task, but has a high efficiency of 94%. Relapse rate after ET techniques corresponds to world-wide data.
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