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Online ISSN 1827-1766
Gencarelli D. 1, Tatulli F. 1, Caputi A. 1, Ciani V. 1, Tiritiello V. 1, Dell’Olio A. 2, Chetta G. 1
1 Unit of General Surgery, V. Emanuele II Hospital, Bisceglie, Barletta-Andria-Trani, Italy
2 Unit of Radiology, V. Emanuele II Hospital, Bisceglie, Barletta-Andria-Trani, Italy
Aim. Varicose veins of the lower limbs often require surgical treatment due to severe symptoms. Traditionally high ligation and stripping of the greater saphenous vein has been considered as the gold standard procedure. Some patients, however, experience postoperative complications that at times can be persistent and debilitating. Nowadays less invasive techniques, such as the endovenous laser treatment (EVLT), are available with equally good outcomes and lower incidence of significant complications. However, we believe EVLT ensures optimal outcomes only when associated with high ligation of the greater saphenous vein.
Methods. We performed an audit of our experience with 530 consecutive patients effectively treated with EVLT.
Results. In all patients the procedure was successfully carried out. We recorded no major complications and no recurrences. Only few minor post-operative troubles were recorded. The follow-up could be thoroughly completed in 220 patients and evidenced full satisfaction with the procedure.
Conclusion. EVLT and HL of the GSV can be regarded as the new gold standard for the surgical treatment of varicose veins of the lower limbs.