Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/17104
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Systematic review of endovenous laser treatment for varicose veins |
Author: | Mundy, L. Merlin, T. Fitridge, R. Hiller, J. |
Citation: | British Journal of Surgery, 2005; 92(10):1189-1194 |
Publisher: | John Wiley & Sons Ltd |
Issue Date: | 2005 |
ISSN: | 0007-1323 1365-2168 |
Statement of Responsibility: | L. Mundy, T. L. Merlin, R. A. Fitridge and J. E. Hiller |
Abstract: | <h4>Background</h4>The safety and effectiveness of endovenous laser treatment (EVLT) for varicose veins are not yet fully evaluated.<h4>Methods</h4>Medical bibliographic databases, the internet and reference lists were searched from January 1966 to September 2004. Only case series were available for inclusion in the review.<h4>Results</h4>: Thirteen studies met the inclusion criteria. Self-limiting features, such as pain, ecchymosis, induration and phlebitis, were commonly encountered after treatment. Deep vein thrombosis and incorrect placement of the laser in vessels were uncommon adverse events. No study has yet assessed the effectiveness of laser therapy in comparison to saphenofemoral junction ligation with saphenous vein stripping. Occlusion of the saphenous vein and abolition of venous reflux occurred in 87.9-100 per cent of limbs, with low rates of re-treatment and recanalization.<h4>Conclusion</h4>From the low-level evidence available it seems that EVLT benefits most patients in the short term, but rates of recanalization, re-treatment, occlusion and reflux may alter with longer follow-up. The lack of such data, in addition to the small numbers of patients in the available studies, demonstrates the need for a randomized clinical trial of EVLT versus conventional surgery. |
Keywords: | Saphenous Vein Humans Varicose Veins Venous Insufficiency Treatment Outcome Adult Aged Middle Aged Laser Therapy |
Description: | Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd |
DOI: | 10.1002/bjs.5142 |
Published version: | http://dx.doi.org/10.1002/bjs.5142 |
Appears in Collections: | Aurora harvest 2 Public Health publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.