INFLUENCE OF HIGH INTENSITY LASER THERAPY ON THE POSTOPERATIVE DYNAMICS OF PATIENTS WITH CHRONIC VENOUS DISEASE

Abstract

Summary. Purpose: improvement of postoperative dynamics in patients after endovenous laser ablation (EVLA) using high-intensity laser therapy (HILT). Materials and methods. The study included 54 patients who noted a moderately painful stretch on the thigh along the course of the coagulated great saphenous vein after EVLA. Patients were divided into 2 groups: the first group (n=28) used HILT, the second group (n=26) was a control group. The effectiveness of the treatment was evaluated by the patient’s subjective assessment of his condition, objective examination of the local status, visual analog scale of pain (VAS) and ultrasound monitoring of changes in the coagulated vein. Research results. After 2 weeks, pain decreased by 62.2% in patients of the first group, by 28.6% in the second group (p <0.05). Compared to the results at the time of application, the vein diameter decreased by 29.9% in the first group, and by 19.4% in the second group. Conclusions. The use of HILT in patients of the first group in the post-operative period of EVLA allows to reduce the severity of pain by 33.6%, and also to speed up the lysis of coagulated great saphenous vein on the thigh by 10.5%, compared to the second group. The results of this study can be used in clinical practice to add HILT as another non-invasive option to improve postoperative dynamics in patients after EVLА.