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Short-Term Result of Endovenous 980-nm Diode Laser Treatment in Varicose Vein of Looter Extremities  

Lee Seock Yeol (Department of Thoiracic & Cardiovascular Surgery, Sonchungyang University Chunan Hospotal)
Song In Hag (Department of Thoiracic & Cardiovascular Surgery, Sonchungyang University Chunan Hospotal)
Lee Seung Jin (Department of Thoiracic & Cardiovascular Surgery, Sonchungyang University Chunan Hospotal)
Park Hyung Joo (Department of Thoiracic & Cardiovascular Surgery, Sonchungyang University Chunan Hospotal)
Lee Cheol Sae (Department of Thoiracic & Cardiovascular Surgery, Sonchungyang University Chunan Hospotal)
Lee Kihl Rho (Department of Thoiracic & Cardiovascular Surgery, Sonchungyang University Chunan Hospotal)
Publication Information
Journal of Chest Surgery / v.38, no.8, 2005 , pp. 557-563 More about this Journal
Abstract
Background: Recently 980-nm diode laser endovenous treatment was introduced and used as a method of treatment for varicose vein in lower extremities. The advantages of endovenous laser treatment are good cosmetic effects without incision and avoidance of complications associated with surgery. Therefore, we performed an endovenous laser treatment using a 980-nm diode laser and observed the effects and the efficiency of treatment. Material and Method: From October, 2003 to March, 2004, 55 patients (84 limbs) underwent endovenous laser treatment with a 980-nm diode laser. The effects of treatment, complications and recurrences were reviewed. Result The mean age of patients was 47.2 years old and the number of men and women were 2f and 35. In a total of 84 limbs, postoperative complications were transient ecchymosis(84 cases), local paresthesia (24 cases), local skin discolorization (6 cases), minimal burn (3 cases), and post operative phlebitis (1 cases). Adjuvant sclerotherapy was performed in 27 limbs and it was performed in varicose veins missed at operation and varicose veins remaining after endovenous laser treatment. In a total of 56 patients, 2 patients $(3.57\%)$ had recurrences after endovenous laser treatment and were treated with phlebectomy. Conclusion: Our findings demonstrated that 980-nm endovenous laser treatment had good cosmetic results with acceptable complications. This study was based on short-term results and long term follow-up is necessary to evaluate the accurate effects of treatment and recurrence. We think that multimodality treatment with endovenous laser treatment including phlebectomy or transilluminated powered phlebectomy can help decreasing of recurrence especially in patients with tortuous varicose cluster.
Keywords
Venous disease; Varicose veins; Lasers;
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