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Khirurgii

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Year 2017 Vol. 25 No 4

GENERAL & SPECIAL SURGERY

Y.V. MELEKHOVETS, V.A. SMIIANOV, Î.Ê. MELEKHOVETS, E.A. SHVIDUN

ASSESSMENT OF QUALITY OF LIFE AS A CRITERION OF THE EFFICIENCY OF LOW-ENERGY MODE ENDOVENOUS LASER COAGULATION

Sumy State University, Sumy,
Ukraine

Objectives. To analyze the quality of life (QL) dynamics in patients with varicose disease of the lower limbs after endovenous laser coagulation (EVLC) with the source of laser radiation at 1 470 nm with different power modes (10 W, 30 J/cm and 15 W, 45 J/cm).
Methods. The study of the life quality was carried out in 219 patients before and after EVLC: group 1 (115 patients) – EVLC with a linear energy density (LED) of 45 J/ñm, group 2 (104 patients) – with LED 30 J/ñm. A control group included 30 healthy persons. CIVIQ questionnaire was used to evaluate the life quality dynamics prior and 1, 8 weeks and 1 year afterward.
Results. The quality of life of patients with the varicose veins of the lower extremities is 2,5 times worse in relation to the control group, justifying a significant effect of chronic venous insufficiency on it. In a week after low-energy EVLC, reliably better results have been achieved: total score (TS) decreased by 24,2% in the 2nd group, in the 1st group – by 14,2 % which is caused by smaller degree of paravasal injury. In 8 weeks the results in both groups were comparable: TS decreased by 12% and 13,1% in the 1st and 2nd groups, respectively. The TS estimation one year afterward didn’t show any reliable difference between the groups: TS decreased up to 34,8 and 34,6, respectively in the 1st and 2nd groups that corresponded to a significant improvement in quality of life – by 46,3% and 47,5% in both groups.
Conclusion. Rapid improvement in quality of life within the first week in low-energy EVLC and absence of the reliable differences in LQ between patients of both groups 1 year afterwards, confirms the adequacy and advisability of the application of linear energy density (30 J/cm2) to obtain stable clinical and aesthetic treatment outcomes.

Keywords: varicose disease, endovenous laser coagulation, termal ablation, life quality, CIVIQ, 1470 nm, treatment outcomes
p. 365-372 of the original issue
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Address for correspondence:
40018, Ukraine, Sumy,
Sanatornaya str., 31, Medical Institute
of Sumy State University, department
of family medicine,
Tel.: +380 66-09-49,
E-mail: meloksana@yandex.ru. Oksana K. Melekhovets
Information about the authors:
Melekhovets Y.V.Post-graduate student of Department of Surgical and Oncology, Medical Institute of the Sumy State University
Smiianov VA, Ass. Professor, Director of the Medical Institute, Sumy State University
Melekhovets OK, Ass. Professor, Department of Family Medicine, Medical Institute, Sumy State University
Shvydun EA. Graduate student of Department of Family Medicine, Medical Institute of the Sumy State University
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