CONVENTIONAL VERSUS ENDOVENOUS TREATMENT IN CHRONIC VENOUS DISEASE - A COMPARATIVE STUDY BASED ON QUALITY OF LIFE

Authors

  • Cristina STROBESCU-CIOBANU “Sf. Spiridon” County Clinical Emergency Hospital Iasi
  • Livia Genoveva BAROI “Sf. Spiridon” County Clinical Emergency Hospital Iasi
  • Dumitrita ZAITA “Sf. Spiridon” County Clinical Emergency Hospital Iasi
  • C. VELICESCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • B. CABA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Madalina Gabriela URMA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Mihaela CHELCIUC Regional Institute of Oncology, Iasi
  • R. F. POPA “Sf. Spiridon” County Clinical Emergency Hospital Iasi

Abstract

Chronic venous disease (CVD) modern treatment has to meet efficiency criteria, minimal invasiveness, aesthetical criteria, has to be used in both primary and recurrent treatment and allows the patient to resume normal activities as soon as possible. Alongside the proven effectiveness of the endovascular technique using LASER thermal ablation, a constant concern remains the benefit of improving the patient's quality of life. The patient perceives the aggressiveness of the procedure and the post-procedural recovery differently when treated through conventional method than through endovenous procedures. Material and methods: In the present paper we resume a comparison between the surgical treatments of chronic venous disease, conventional versus endovenous LASER thermal ablation. A prospective study was performed on two groups with equal number of patients and similar clinical staging. VEINES and CIVIQ-20 questionnaires were applied pre- and postoperatively (10 days, one month and two months intervals). Results: The Global Score Index calculated for all patients preoperatively and postoperatively showed increases in each of the 3 postoperative assessments, proving the therapeutic indication and efficacy of both surgical procedures. Conclusions: The recording of higher values for patients treated with endovenous procedure compared to patients treated with the traditional procedure support the hypothesis of this study that quality of life is higher in the group treated with endovenous LASER therapy.

Author Biographies

  • Cristina STROBESCU-CIOBANU, “Sf. Spiridon” County Clinical Emergency Hospital Iasi

    “Grigore T. Popa” University of Medicine and Pharmacy Iasi
    Faculty of Medicine
    Department of Vascular Surgery

  • Livia Genoveva BAROI, “Sf. Spiridon” County Clinical Emergency Hospital Iasi

    “Grigore T. Popa” University of Medicine and Pharmacy Iasi
    Faculty of Medicine
    Department of Vascular Surgery

  • Dumitrita ZAITA, “Sf. Spiridon” County Clinical Emergency Hospital Iasi

    “Grigore T. Popa” University of Medicine and Pharmacy Iasi
    Faculty of Medicine
    Department of Vascular Surgery

  • C. VELICESCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Surgery (I)

  • B. CABA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medical Bioengineering
    Department of Biomedical Sciences

  • Madalina Gabriela URMA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Medical Student

  • R. F. POPA, “Sf. Spiridon” County Clinical Emergency Hospital Iasi

    “Grigore T. Popa” University of Medicine and Pharmacy Iasi
    Faculty of Medicine
    Department of Vascular Surgery

References

1. Mackenzie RK, Lee AJ, Paisley A, Burns P, Allan PL, Ruckley CV, Bradbury AW. Patient, operative, and surgeon factors that influence the effect of superficial venous surgery on disease-specific quality of life. J Vasc Surg 2002; 36(5): 896-902.
2. Lurie F, et al. Prospective randomized study of endovenous radiofrequency obliteration (Closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS study). J Vasc Surg 2003; 38(2): 207-214.
3. Coleridge Smith P. Chronic venous disease treated by ultrasound guided foam sclerotherpy. Eur J Vasc Endovasc Surg 2006; 32: 577-583.
4. Min Rj, Khilnani N, Zimmet S. Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 2003; 14: 991-996.
5. Lurie F, et al. Prospective randomized studie of radiofrequency obliteration (Closure) versus ligation and vein stripping (EVOLVeS): two-year follow-up. Eur J Vasc Endovasc Surg 2005; 29: 67-73.
6. Kuet ML, Lane TR, Anwar MA, Davies AH. Comparison of disease-specific quality of life tools in patients with chronic venous disease. Phlebology 2014; 29(10): 648-653.
7. Lozano Sánchez FS, et al. Quality of life in patients with chronic venous disease: influence of the socio-demographical and clinical factors. Int Angiol 2013; 32(4): 433-441.
8. Kahn, S, et al. VEINES-QOL/Sym questionnaire was a reliable and valid disease-specific quality of life measure for deep venous thrombosis. J Clin Epidemiol 2006; 59(10): 1049-1056.
9. Nesbitt C, Bedenis R, Stansby G. Endovenous ablation (radiofrequency and laser) and foam sclero-therapy versus open surgery for great saphenous vein varices. Cochrane Database Syst Rev, 2014; 7: CD005624 / doi: 10.1002/14651858.CD005624.pub3.
10. Liaudginas, T, Kazlauskaite, V. Varicose veins surgical treatment: Endovenous laser ablation versus open surgery. Porto Biomed J 2017; 2(5): 242 / doi: 10.1016/j.pbj.2017. 07.154.

Additional Files

Published

2023-09-30

Issue

Vol. 127 No. 3 (2023): The Medical-Surgical Journal

Section

SURGERY

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