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Abstract

Objectives: The aim of this study was to evaluate postoperative pain following endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) and identify risk factors for increased pain. Methods: Patients undergoing either segmental RFA (VNUS Closure Fast^TM, VNUS Medical Technologies, San Jose, California) or EVLA (980 nm) for varicose veins completed a preoperative disease-specific quality-of-life questionnaire (Aberdeen Varicose Vein Questionnaire [AVVQ]) and a diary card recording postoperative pain, return to normal activities, and return to work. Median 3- and 10-day pain scores were calculated. Results: In all, 81 patients returned diary cards (RFA = 45, EVLA = 36). Patients receiving RFA reported less postoperative pain than those receiving EVLA at 3 days (14.5 vs 25.8 mm, P = .053, Mann-Whitney U test) and 10 days (13 vs 23.3 mm, P = .014, Mann-Whitney U test) and returned to work earlier than those receiving EVLA (median 5 vs 9 days, P = .022). Conclusions: Patients treated with segmental RFA had less postoperative pain and returned to work quicker than those treated with EVLA.

Keywords

varicose veins endovenous ablation radiofrequency laser VNUS

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References

Luebke T. , Brunkwall J. Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis. J Cardiovasc Surg (Torino). 2008;49(2):213-233.

Van den Bos R. , Arends L. , Kockaert M. , Neumann M. , Nijsten T. Endovenous therapies of lower extremity varicosities: a meta-analysis. J Vasc Surg. 2009;49(1):230-9.

Darwood RJ , Theivacumar N. , Dellagrammaticas D. , Mavor AI , Gough MJ Randomized clinical trial comparing endovenous laser ablation with surgery for the treatment of primary great saphenous varicose veins. Br J Surg. 2008;95(3):294-301.

Proebstle TM , Vago B. , Alm J. , Gockeritz O. , Lebard C. , Pichot O. Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: first clinical experience. J Vasc Surg. 2008;47(1):151-156.

Kianifard B. , Holdstock JM , Whiteley MS Radiofrequency ablation (VNUS closure) does not cause neo-vascularisation at the groin at one year: results of a case controlled study. Surgeon. 2006;4(2):71-74.

Lurie F. , Creton D. , Eklof B. , 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.

Rasmussen LH , Bjoern L. , Lawaetz M. , Blemings A. , Lawaetz B. , Eklof B. Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: short-term results. J Vasc Surg. 2007;46(2):308-315.

Rautio T. , Ohinmaa A. , Perala J. , et al. Endovenous obliteration versus conventional stripping operation in the treatment of primary varicose veins: a randomized controlled trial with comparison of the costs. J Vasc Surg. 2002;35(5):958-965.

Merchant RF , Pichot O. Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency. J Vasc Surg. 2005;42(3): 502-509; discussion 509.

10.

Shepherd AC , Gohel MS , Hamish M. , Davies AH Are we embracing endovenous techniques? A survey of vascular surgeons in the United Kingdom. Venous Forum Abstracts Spring meeting of the Venous Forum at The Royal Society of Medicine, 3-4 April 2008. Phlebology. 2008;23(4):196-202.

11.

Winterborn RJ , Corbett CR Treatment of varicose veins: the present and the future-a questionnaire survey. Ann R Coll Surg Engl. 2008;90(7):561-564.

12.

Garratt AM , Macdonald LM , Ruta DA , Russell IT , Buckingham JK , Krukowski ZH Towards measurement of outcome for patients with varicose veins. Qual Health Care. 1993; 2(1):5-10.

13.

Eklof B. , Rutherford RB , Bergan JJ , et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40(6):1248-1252.

14.

Rutherford RB , Padberg FT Jr , Comerota AJ , Kistner RL , Meissner MH , Moneta GL Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg. 2000;31(6): 1307-1312.

15.

Fan CM , Rox-Anderson R. Endovenous laser ablation: mechanism of action. Phlebology . 2008;23(5):206-213.

16.

Gohel MS , Shepherd A. , Lim CS , Hamish M. , Davies AH Investigating the cost of traditional and endovenous treatments for unilateral and bilateral varicose veins: a decision-tree analysis. Phlebology . 2008;33(5):247.

Pain Following 980-nm Endovenous Laser Ablation and Segmental Radiofrequency Ablation for Varicose Veins: A Prospective Observational Study

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