Choice of the method of surgical treatment for ectasias of saphenofemoral and saphenopopliteal junctions

Abstract

Objective. Analysis of results of radiofrequency laser ablation and crossectomy with stripping in patients, suffering varicose disease of the lower extremities veins in ectasias, sizing more than 14 mm in saphenofemoral and saphenopopliteal junctions. Materials and methods. Analysis of the treatment results was conducted for 66 patients, among whom there were 46 women. Average age of the patients have constituted 54.7 yrs. The patients were divided into three groups: the first - 22 patients, in whom crossectomy with stripping was accomplished, the second - 21 patients, in whom endovenous laser ablation was done, and the third - 23 patients, in whom radiofrequency ablation was performed. Level of the pain intensity was estimated during 7 days, dynamics of severity of chronic venous insufficiency, presence of complications and recurrences half a year postoperatively. Results. Severity of chronic venous insufficiency have reduced in 6 mo in all the groups under the influence of treatment: in the first group - by 63.8%, in second - by 50.1%, in the third - by 65.3%. The most reduction of the pain level (by 50%) on the second day postoperatively were registered in patients of the third group. Half a year before a recurrence in the first group have occurred in 4 (18.2%) patients, in the second - in 3 (14.3%), and in the third - in 1 (4.3%) patients. Conclusion. The selected methods of surgical treatment for varicose disease of the lower extremities are effective. In presence of ectasias of saphenofemoral and saphenopopliteal junctions the morbidity and recurrence rates were lowered, the pain indices reduced after the radiofrequency ablation application, comparing with endovenous laser ablation and crossectomy with stripping.

Keywords

• varicose disease of the lower extremities veins; the radiofrequency ablation; endovenous laser ablation