Downloads: 2 | Views: 64 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2
Doctoral Thesis | General Surgery | India | Volume 12 Issue 4, April 2023
A Non-Randomised Prospective Study Comparing the Efficacy of Endovenous Laser Therapy and Trendelenburg?s Procedure for Sapheno-Femoral Junction Incompetence
Abstract: Background: Endovenous laser therapy (EVLT) for ablation of the great saphenous vein (GSV) is a popular method, thought to minimize postoperative morbidity compared with Trendelenburg's Surgery. There are however no RCTs comparing the two. This prospective non-randomized trial compared EVLT (980nm) and Trendelenburg's Surgeryresults at 6 days, 6 weeks and 6 months. Method: A total of 400 consecutive patients agreed to take part in the study, 200 in the EVLT group and 200 in the Trendelenburgs surgery group. Phlebectomy and ligature of incompetent perforators were performed whenever indicated in both groups. Patients were re-examined clinically at 6 days, 6 weeks and 6 months. Clinical success rate, operative time, complication rate, time to return to normal activity and the Varicose Venous Clinical Severity Score (VVCSS) were recorded. Results: The clinical success at the end of 6 months was not statistically differentin patients in EVLT and Trendelenburg groups. The mean days required to return to normal activity in the Trendelenburg group (4.73? 0.58 days) was lesser than that in the EVLT group (4.87? 1.07 days). VCSS score in the Trendelenburg's group was lesser compared to those in the EVLT group both pre-operatively and post-operatively. There was a single incident of DVT which was in the Trendelenburg group. Conclusions: Both Trendelenburg and EVLT are safe day case procedures. Patients in the Trendelenburg group had significantly lesser complications in the post-operative period in comparison and lesser post-operative pain compared to those in the EVLT group. Trendelenburg's procedure was a faster procedure and had a shorter hospital stay in comparison with EVLT procedure.
Keywords: EVLT, Varicose vein, Trendelenburg, laser, vein
Edition: Volume 12 Issue 4, April 2023,
Pages: 1406 - 1413