Home > Journals > Acta Phlebologica > Past Issues > Acta Phlebologica 2018 December;19(3) > Acta Phlebologica 2018 December;19(3):91-5

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE   

Acta Phlebologica 2018 December;19(3):91-5

DOI: 10.23736/S1593-232X.18.00423-X

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Is laser ablation the gold standard in the treatment of epifascial varicose veins?

Roberto SIMKIN , Carlos SIMKIN, Ruben BULLOJ

University of Buenos Aires, Buenos Aires, Argentina



BACKGROUND: The authors present their experience in the treatment of epifascial varicose veins with endoluminal laser, and the microsurgical technique proposed by Muller. They stress the question that all surgeons ask about what the best treatment is to solve epifascial varicose vein problems, in patients simultaneously presenting the latter and saphenous reflux. The simultaneous treatment of saphenous trunks and epifascial varicose veins is the technique that the authors use and have developed in this work, with very satisfactory results. As it is not possible to apply the laser technique in every case of epifascial varicose veins, the authors use foam and Muller’s technique. The authors also report on addressing the technical difficulties of epifascial vein surgery; they recommend the use of the microsurgical or Muller technique as the ideal.
METHODS: Of a total of 1389 cases that underwent endoluminal laser surgery to treat epifascial varicose veins in 547 cases, and varicose veins of the feet in 173 cases, a satisfactory patient outcome was achieved in all cases.
RESULTS: The immediate complications were: neuralgia, lymphorrhea, edema and bruising.
CONCLUSIONS: The authors recommend microsurgery as the ideal method to solve the problem of epifascial varicose veins; only in rare cases can endoluminal laser treatment be performed for these varicose veins. All these patients made a rapid recovery and there have been no surgical sequelae up to three months after surgery (follow-up).


KEY WORDS: Laser therapy - Microsurgery - Varicose veins

top of page