LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb
Ahmed Abozeid, M., Ibrahim, M., Almaadawy, G. (2021). LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb. EKB Journal Management System, 3(1), 1016-1024. doi: 10.21608/ijma.2020.21429.1060
Mohamed Abozeid Ahmed Abozeid; Metwaly Ragab Ibrahim; Gamal El-sayed Almaadawy. "LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb". EKB Journal Management System, 3, 1, 2021, 1016-1024. doi: 10.21608/ijma.2020.21429.1060
Ahmed Abozeid, M., Ibrahim, M., Almaadawy, G. (2021). 'LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb', EKB Journal Management System, 3(1), pp. 1016-1024. doi: 10.21608/ijma.2020.21429.1060
Ahmed Abozeid, M., Ibrahim, M., Almaadawy, G. LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb. EKB Journal Management System, 2021; 3(1): 1016-1024. doi: 10.21608/ijma.2020.21429.1060

LASER Versus Mechanochemical Ablation in Treatment of Primary Varicose Vein of Lower Limb

International Journal of Medical Arts
Article 16, Volume 3, Issue 1, January 2021, Page 1016-1024  XML PDF (1.39 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2020.21429.1060
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Authors
Mohamed Abozeid Ahmed Abozeid email orcid 1; Metwaly Ragab Ibrahim1; Gamal El-sayed Almaadawy2
1Department of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt
2Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt
Abstract
Background: Endovenous thermal techniques, such as endovenous laser ablation [EVLA], are the recommended treatment for varicose veins. Non-thermal techniques such as Mechanochemical ablation [MOCA] have potential benefits.
Aim of the work: To compare EVLA with MOCA in the treatment of primary varicose vein of the lower limb.
Patients and Methods: 40 patients who had primary great saphenous varicose veins [VV] admitted at the Vascular Surgery Department, Al-Azhar University Hospital, New Damietta, Egypt. They randomized into two equal groups each one included 20 patients group [1] treated by EVLA and group [2] treated by MOCA.
Results: The time of operation of studied patients ranged from 22 to 44 minutes, and there a statistically significant decrease in time of group 2 compared to group 1. [25.36±1.80 vs. 37.30±2.47 respectively]. Postoperative pain in studied patients ranged from 0 [no pain] to 7 [severe pain], there statistically significant decrease in pain of group 2 compared to group 1. As regard to induration, it was reported in 4 patients, representing 20% of group 1 [4] patients, were significant differences between groups 1 and 2 [20% vs. 0% respectively]. At the end of the sixth month postoperatively, as regard complete occlusion of the great saphenous vein [GSV] vein, there was statistically no significant difference between group 2 when compared to group 1 [92.5% vs. 95% respectively].
Conclusions: MOCA was associated with better results on short-term follow-up.
Keywords
Mechanochemical ablation; Phlebogriffe; thermal ablation; Treatment; Varicose veins
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