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Acta Phlebologica 2022 April;23(1):5-12

DOI: 10.23736/S1593-232X.21.00493-8


lingua: Inglese

Endovenous electric welding as an effective minimally invasive surgery of varicose veins of big diameter

Larisa M. CHERNUKHA 1, Mikhailo V. CHEKHLOV 2 , Vladislav S. GORBOVETS 3, Evhenii A. STOLIARCHUK 4, Liudmila V. BULATOVA 2, Andrii M. RIABOKON 2

1 Department of Great Vessels Surgery, Shalimov’s National Institute of Surgery and Transplantology, Kiev, Ukraine; 2 Department of Surgery #3, Odessa National Medical University, Odessa, Ukraine; 3 Department of Surgery and Vascular Surgery, Shchupik’s National Medical Academy of Postgraduate Education, Kiev, Ukraine; 4 Department of Radiologic Diagnosis, Treatment and Oncology, Odessa National Medical University, Odessa, Ukraine

BACKGROUND: A significant disadvantage of any laser technology in varicose veins of the lower extremities treatment is the spectrum of side effects. A new thermal ablation technique with less tissue heating and an improved control algorithm called Endovenous Electric Welding (EVEW) addresses these problems.
METHODS: A retrospective analysis of 749 clinical cases of combined surgical treatment of patients with varicose veins of the lower extremities. The total sample was formed retrospectively as we analyzed the efficiency of the endovenous laser ablation using radial laser optics since 2015 and the introduction of the EVEW into the clinical practice in 2018.
RESULTS: As a comparison criterion, only “excellent” results were selected. In the postoperative period (6 months), the frequency of cases of partial recanalization of the great saphenous vein trunk on the thigh in the 1st group was 6%, in the second -0% (P>0.05 by the χ2 parameter). In all cases of recanalization in the first group, relapse was observed in the large saphenous vein pool; the diameter of the estuarine area was over 21 mm. No great postoperative complications were recorded, such as neuritis, skin burns, deep vein thrombosis.
CONCLUSIONS: EVEW can be a safe and effective method of treating chronic venous diseases of the lower extremities.

KEY WORDS: Varicose veins; Lower extremity; Laser therapy

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