Management of lower limbs varicose veins using endovenous laser ablation, our experience at King Hussein medical center

الملخص EN

Objective : To evaluate the treatment results for lower limbs varicose veins using Endovenous Laser Ablation (EVLA) at King Hussein Medical Center (KHMC).

Methods : A retrospective review of the records of 87 patients with 116 lower extremities great saphenous vein (GSV) varicosities treated using EVLA at KHMC /vascular unit between January 2011 and June 2018 was conducted .Sixty-six patients were females and 21 were males.

The mean age was 40 years.

A mean follow up period of one year included clinical assessment and duplex scan denoting success rate, efficacy, complications and safety of the procedure.

Results : Successful complete occlusion of the GSV was reported in 107 cases (92.2%) whereas partial occlusion appeared in 6 legs (5.2%) and 3 showed vein recanalization during follow up period.

Those were further effectively managed using Ultrasound Guided Sclerotherapy (UGS).No surgical intervention was necessary in any of the limbs.

None of the patients developed significant complications .Eight patients had mild to moderate post operative pain that was treated with oral analgesics.

Fifteen patients complained of GSV tract induration.

All procedures were performed as day case and patients were mobilized and discharged on same day of procedure.

Conclusion : EVLA for treatment of lower limb GSV appears to be safe and effective technique.

It is minimally invasive with low complications and high success rate.