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Objective To investigate the efficacy of transilluminated powered phlebectomy (TIPP) and endovanous laser treatment(EVLT) combined with high ligation on treating varicose great saphenous vein.Methods A total of 238 cases with varicose great saphenous vein were divided into TIPP group (119 cases)and EVLT group (119 cases).The incidence of postoperative recovery and complications of the two groups were compared.Results There was no significant difference between the two groups on the surgery duration and postoperative recovery incident(P ＞ 0.05);the saphenous nerve injury incidence and skin impairment incidence of the TIPP group were significantly less than that of EVLT group (P ＜ 0.05);the amount of bleeding,subcutaneous hematoma incidence,and amount of surgical incision of TIPP group were significantly more than that of the EVLT group(P ＜ 0.05).Conclusions TIPP and EVLT combined with high ligation are two effective minimally invasive surgical approaches on treating varicose great saphenous vein.EVLT is with less surgical incision and less bleeding,and is more applicable for mild case;TIPP is with less operative trauma,and is more applicable for severe case.
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Objective To evaluate the efficacy of intravenous laser treatment for varicose great saphenous veins of lower limbs. Methods .Intravenous laser treatment in combination with surgical procedure was used to treat 126 cases of varicose great saphenous vein (150 limbs) in this hospital between July 2002 and May 2004. Results .The operation time was 30~50 min (mean, 45 min). A follow-up for 3~19 months (mean, 6 months) in 120 cases (142 limbs) was carried out. Out of the 142 limbs, symptoms of soreness and lacking in strength completely disappeared in 134 limbs (94.4%) and partially subsided in 8 limbs (5.6%). A complete disappearance of symptoms of skin pigmentation and swelling was achieved in 45 limbs (90.0%, 45/50) and 97 limbs (96.4%, 97/101), respectively. The varicose superficial veins vanished in all the limbs without recurrence. Complications included skin burn on the medial malleolus (2 cases) or anterior shank (2 cases), numbness and hypoesthesia on the medial shank (3 cases), and subcutaneous cord-like hard tubercles (32 cases, which were completely softened and absorbed 3 months later). Conclusions .Intravenous laser treatment is a reliable method in the treatment of varicose great saphenous veins, with simplicity of performance, good safety, little influence of normal activities, and excellent cosmetic results.