Comparative Study of Cyanoacrylate Glue and Endovenous Laser Ablation Techniques for the Treatment of Varicose Veins

Öz

Aim: The aim of this study is to provide a comparison between two minimally invasive techniques; cyanoacrylate glue (CG) and endovenous laser ablation (EVLA) for the treatment of varicose veins. Material and Method: This study was a retrospective study of patients with varicose veins who underwent EVLA or CG techniques between January 2018 and December 2021. The demographic characteristics of the patients, patient complaints and symptoms, postoperative 1st and 6th month Doppler-Ultrasound control results and preoperative-postoperative comparisons were made. Results: A total of 200 adult patients were treated with CG (n=54) or EVLA (n=146) techniques. The doppler- ultrasound tests of the 1st and 6th months determined that the success rates of the EVLA and CG groups were 96.6% and 92.6%, respectively. Conclusion: Statistically significant was observed in both groups when the results of the pre-postoperative Venous Clinical Severity Score of CG and EVLA patients were evaluated. From the data analysis, we have found that the duration of the procedure was significantly shorter in the CG group, the ecchymosis and erythema were observed significantly less in the CG group, and the return time to normal activity was shorter in the CG group.

Anahtar Kelimeler

• Laser ablation
• minimally invasive surgical procedures
• varicose veins
• cyanoacrylate glue

Varisli Damarlarda Siyanoakrilat Tutkal ve Endovenöz Lazer Ablasyonunun Karşılaştırmalı Çalışması

Öz

Amaç: Bu çalışmanın amacı, varis tedavisi için iki minimal invaziv teknik olan siyanoakrilat yapıştırıcı (CG) ve endovenöz lazer ablasyon (EVLA) arasında bir karşılaştırma sağlamaktır. Gereç ve Yöntem: Bu çalışma, Ocak 2018 ile Aralık 2021 arasında EVLA veya CG teknikleri uygulanan varisli hastaların dahil edildiği bir retrospektif çalışma idi. Hastaların demografik özellikleri, hasta şikayet ve semptomları, postoperatif 1. ve 6. ay doppler-ultrason kontrol sonuçları ve preoperatif-postoperatif karşılaştırmalar yapıldı. Bulgular: Toplam 200 yetişkin hasta CG (n=54) veya EVLA (n=146) teknikleri ile tedavi edildi. 1. ve 6. aylarda yapılan doppler ultrason testlerinde EVLA ve CG gruplarının başarı oranları sırasıyla %96,6 ve %92,6 olarak belirlendi. Sonuç: CG ve EVLA hastalarının ameliyat öncesi Venöz Klinik Şiddet Skoru sonuçları değerlendirildiğinde her iki grupta da istatistiksel olarak anlamlı iyileşmeler gözlendi. Veri analizinden CG grubunda işlem süresinin anlamlı olarak daha kısa olduğunu, CG grubunda ekimoz ve eritem belirgin olarak daha az görüldüğünü ve CG grubunda normal aktiviteye dönüş süresinin daha kısa olduğunu saptadık.

Anahtar Kelimeler

• Lazer ablasyon
• minimal invaziv cerrahi prosedürler
• varisli damarlar
• siyanoakrilat yapıştırıcı

Kaynakça

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