Prevention of Saphenous Nerve Injury after Endovenous Laser Ablation of Incompetent Great Saphenous Veins: 2 Step Ablation
نویسندگان
چکیده
血管内レーザー焼灼術（EVLA）後に生じる伏在神経障害を回避する手技について前向きに検討した．下腿まで逆流が認められる大伏在静脈（GSV）弁不全72例90肢に対しEVLAを施行した．膝上GSVは出力7 W（目標LEED 50～70 J/cm）で焼灼し，膝下GSVでは出力を5 20～25 J/cm）に落として，条件を変えて分割焼灼した．GSVの平均焼灼長は50.4 cmであった．術後1カ月目の超音波検査では全例において内腔閉塞が確認され，神経障害はみられず，根治性の高いEVLAが可能であった．
منابع مشابه
Postoperative pain and early quality of life after radiofrequency ablation and mechanochemical endovenous ablation of incompetent great saphenous veins.
OBJECTIVE Thermal ablative techniques of varicose veins carry a risk of heat-related complications, including postoperative pain. Mechanochemical endovenous ablation (MOCA) might avoid these complications and reduce postoperative pain because of the absence of thermal energy. This study evaluated postoperative pain and quality of life after radiofrequency ablation (RFA) and MOCA for great saphe...
متن کاملA retrospective study comparing endovenous laser ablation and microwave ablation for great saphenous varicose veins.
BACKGROUND Endo-venous laser or microwave ablation is a minimally invasive surgery for treating varicose veins of lower limbs. AIM The aim of our study was to determine whether endovenous microwave ablation of the greater saphenous vein was associated with better effectiveness and less complications than the endovenous laser ablation. MATERIALS AND METHODS From July 2008 to June 2011, 259 c...
متن کاملFirst results with a new 1470-nm diode laser for endovenous ablation of incompetent saphenous veins.
INTRODUCTION Most of the published EVLA data concern 810, 940, 980 nm diode lasers and 1064 or 1320 nm Nd:Yag laser systems. Major side effects are postoperative pain and bruising. The aim of this study was to show the outcome one year after EVLA of incompetent saphenous veins with a 1470 nm Diode laser (Ceralas E, biolitec). PATIENTS AND METHOD Between December 2006 and February 2007, 134 sa...
متن کاملEndovenous laser ablation of great saphenous veins performed using tumescent cold saline solution without local anesthesia.
BACKGROUND In recent years, laser systems with higher wavelengths, associated with new optical fibers, have shown excellent short-term results in treating saphenous veins and reducing the side effects and, in particular, the postoperative pain. However, if the patients are not anesthetized, they may feel pain even when using low energy with the high-wavelength laser; the only tumescent local an...
متن کاملRandomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins.
BACKGROUND Endovenous laser ablation (EVLA) is a popular minimally invasive treatment for varicose veins. Surgical treatment, featuring junctional ligation and inversion stripping, has shown excellent clinical and cost effectiveness. The clinical effectiveness of both treatments was compared within a randomized trial. METHODS Some 280 patients were randomized equally into groups receiving eit...
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ژورنال
عنوان ژورنال: The Japanese Journal of Phlebology
سال: 2021
ISSN: ['0915-7395', '2186-5523']
DOI: https://doi.org/10.7134/phlebol.21-25