Technical Efficacy and Safety of Outpatient Endovenous Laser Ablation of Varicose Veins Under Local Anesthesia.

IF 2.8 Q2 PERIPHERAL VASCULAR DISEASE

Vascular Health and Risk Management Pub Date : 2025-05-17 eCollection Date: 2025-01-01 DOI:10.2147/VHRM.S518681

Abdullah Alwahbi

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Abstract

Background: Endovenous Laser Ablation (EVLA) is the recommended method for treating varicose veins. It is commonly performed in an inpatient or as day surgery setting under either general or spinal anesthesia. The purpose of this study is to assess the technical efficacy and safety performing outpatient EVLA for varicose veins under local tumescent anesthesia for procedure success, complications, recovery time, and patient satisfaction.

Methods: A retrospective review of 300 consecutive patients who underwent outpatient EVLA under local tumescent anesthesia from October 2014 to June 2019 was undertaken. Patients 25-55 years diagnosed with symptomatic varicose veins and Great Saphenous Vein (GSV) incompetence were enrolled. Patient demographics, clinical characteristics, procedure duration, complications, and follow-up outcomes were recorded.

Results: A total of 331 limbs were treated. The mean procedure time was 36 minutes. Five procedures were aborted for technical reasons, resulting in an overall technical success rate of 98%. They were minor complications of bruising (13%) and phlebitis (5%), that were resolved and did not require further intervention. There were no significant complications, including deep vein thrombosis (DVT) or pulmonary embolism (PE). Patients were discharged and resumed normal activities within approximately seven days and were well satisfied.

Conclusion: EVLA for varicose veins can be performed as an outpatient procedure under local tumescent anesthesia safely and with high technical efficiency. It offers the benefits of shorter recovery times, less risk of complications, and lower health care costs.

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局部麻醉下门诊静脉内激光消融治疗静脉曲张的技术疗效和安全性。

背景：静脉内激光消融（EVLA）是治疗静脉曲张的推荐方法。它通常在住院病人或在全麻或脊髓麻醉下作为日间手术进行。本研究的目的是评估局部肿胀麻醉下门诊静脉曲张EVLA的技术有效性和安全性，包括手术成功率、并发症、恢复时间和患者满意度。方法：对2014年10月至2019年6月连续300例局部肿胀麻醉下门诊EVLA患者进行回顾性分析。患者年龄25-55岁，诊断为症状性静脉曲张和大隐静脉（GSV）功能不全。记录患者人口统计学、临床特征、手术时间、并发症和随访结果。结果：共治疗肢体331例。平均手术时间为36分钟。5例手术因技术原因流产，总体技术成功率为98%。他们是轻微的并发症瘀伤（13%）和静脉炎（5%），这些都得到了解决，不需要进一步的干预。无明显并发症，包括深静脉血栓形成（DVT）或肺栓塞（PE）。患者在大约7天内出院并恢复正常活动，并且非常满意。结论：局部肿胀麻醉下EVLA治疗静脉曲张可作为门诊手术安全、技术效率高。它提供了更短的恢复时间、更少的并发症风险和更低的医疗保健成本的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-

CiteScore

4.20

自引率

3.40%

发文量

109

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.