BÜYÜK SAFEN VEN YETMEZLİĞİNDE ENDOVENÖZ LAZER ABLASYON TEDAVİSİ TECRÜBELERİMİZ

Aim: In this study, we aimed to evaluate the our midterm results of endovenous laser ablation treatment in great saphenous vein insufficiency. Material and methods:Between January 2011June 2011, 108 patients [56 (%51,8) women, 52 (% 48,2) men; mean age; 43,3±11,7 years, range; 25 to 71 years] who underwent the endovenous ablation intervention included in this study and investigated retrospectively. The written consent had been taken from patients before the operation. 4 of them underwent sequential operations on both lower extremity. While, 21(%19,4) patients who underwent only endovenous laser ablation, others underwent endovenous laser ablation and phlebectomy operation. All patients were examined on first day, 1st week, 1st-6th month. All patients were examined by colored doppler ultrasonography on 6th month control. Results: In postoperative first day control; erythema was seen in three patients, hyperesthesia which continued in postoperative early period was seen at left medial thigh of one patient. In first week control; deep vein thrombosis, thrombophlebitis, echimosis, thrombophlebitis were seen in 2, 3, 3 and 1 patients respectively. In first month control; Patients with thrombophlebitis, thrombosis were recovered clinically. In 6th month; complaints of patients with deep vein thrombosis were got well, recanalization was detected thrombosed veins and all great saphenous vein were obliterated in 6th month controls except three patient. Conclusion: We think that endovenous ablation intervention can be considered instead of conventional surgery in proper cases and it is quite safe and comfortable treatment modality for the patients at the same tim