Journal «Angiology and Vascular Surgery» • 

2004 • VOLUME 10 • №1

ENDOVASAL LASER OBLITERATION OF THE GREATER SAPHENOUS VEIN IN PATIENTS WITH VARICOSIS

V.Yu. Bogachev, A.I. Kirienko, I.A. Zolotukhin, A.Yu. Bryushkov, O.V. Kuravleva, S.I. Spasokukotsky
Chair of Faculty Surgery with a Course of Cardiovascular Surgery and Surgical Phlebology, Faculty for Advanced Medical Training, Russian State Medical University,
Moscow, Russia

This paper describes the first results of endovasal laser obliteration of the greater sephenous vein in two patient groups (n=40) math varicosis. In 15 cases (control group), laser obliteration was employed during routine operation as an alternative to phlebectomy according to Babcock following crossectomy. In 25 patients (the main group), operation was performed without ligation of the saphenofemoral anastomosis. After puncture and catheterization according to Seldinger the greater saphenous vein was exposed to thermal action over the length from the osteal valve to the upper third of the leg. The follow up of the patients amounted to 12 months. The results obtained in the main patient group seem most interesting. Stable elimination of truncal varicosis could be attained in more than 90% of cases, which was associated with quick medicosocial rehabilitation, the minimal number of complications and an excellent cosmetic effect.

KEY WORDS: varicosis, endovasal laser obliteration of the greater saphenous vein, EVLT, crossectomy.

P. 93

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