Endoluminal Radiofrequency Ablation of Varices
Authors:
L. Hnátek; J. Duben; B. Dudešek; J. Gatěk
Authors place of work:
Chirurgické oddělení Nemocnice ATLAS, a. s. Zlín, přednosta: prim. MUDr. J. Gatěk, Ph. D.
Published in the journal:
Rozhl. Chir., 2007, roč. 86, č. 11, s. 582-586.
Category:
Monothematic special - Original
Summary
Introduction:
Chronic venous insufficiency affects a considerable proportion of the population and, commonly, is not considered a disease, but a disease process presenting as a wide range of clinical findings. The commonest findings include stages C2 and C3 according to the CEAP classification. Recently, modern miniinvasive surgical methods have come forth.
Aim:
The aim is to present the authorsę intitial experience with endoluminal bipolar radiofrequency thermotherapy of varices (RFITT).
Material, Methodology:
48 extremities operated in 35 subjects from January to June 2007. VSM (Vena saphaena magna) was operated in 47 cases and VSP (Vena saphaena parva) in a single case. Where terminal VSM valve insufficiency was detected, additional crossectomy was performed. In all subjects, the procedure was followed by mimiphlebectomy and foam sclerotherapy.
Results:
Obliteration of the operated vein using RFITT immediately after the procedure rated 100%. Subsequent recanalization was performed in a single subject after Day 140. Complications included irritation of the saphenous nerve in three subjects, in one case following miniphlegectomy and in the other two cases following RFITT. In all the subjects, the clinical findings recovered spontaneously within 14 days. Duration of their hospitalization was 5-24 hours.
Conclusion:
RFITT is a safe and effective miniinvasive surgical technique in the varicose veins management. It can be considered another alternative to other miinvasive procedures, such as laser endoluminal photocoagulation or conventional procedures, including stripping.
Key words:
radiofrequency ablation – varicose veins
Zdroje
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Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2007 Číslo 11
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