Year 2017 Vol. 25 No 6

GENERAL & SPECIAL SURGERY

V.A. YANUSHKO ², N.A. ROGOVOY ¹, D.V. TURLIUK ², I.P. KLIMCHUK ¹, S.S. KALININ ¹

ENDOVENOUS LASER ABLATION OF GIACOMINI VEIN IN SURGICAL TREATMENT OF VARICOSE VEINS OF LOWER EXTREMITIES

4th N.E. Savchenko City Clinical Hospital ¹,
Republican Scientific and Practical Centre Cardiology ², Minsk,
The Republic of Belarus

Objective. To assess the efficacy of endovenous laser ablation (EVLA) in the complex treatment of varicose veins with paradoxical reflux in Giacomini vein.
Methods. In 2014-2016 we have operated 25 patients with paradoxical reflux in Giacomini vein. All EVLA procedures were guided by ultrasound (US). The average energy delivered was 606,2 J/cm and power of 10 watts. Men were 8(32%), women 17(68%).
Results. Evaluation of the treatment results was conducted based on clinical data and US control. Pain during surgical intervention and in the first 5 days after the operation was assessed by visual analogue score. The change in the quality of life was assessed using the CIVIQ-2 questionnaire. Improvement of the quality of life in the postoperative period by 7.0 points was noted. Also, a decrease in the severity of the disease assessed by the VCSS questionnaire was found to be 3 points. Occlusion of the ablated veins was confirmed during surgery and on the follow-up examination at 1, 7 day and 1, 3, 6, 12 months after EVLA.
Conclusions. Ultrasound (US) guided EVLA of Giacomini vein is an effective and safe method of treatment of incompetent Giacomini varicose veins which provides high clinical and cosmetic results. Proposed method enables to operate with Giacomini vein only preserving great and small saphenous veins, which can be used further as prosthesis in arterial bypass grafting.

Keywords: varicose veins, endovenous laser ablation, Giacomini vein, saphenous vein, questionnaires, quality of life
p. 583-588 of the original issue
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Address for correspondence:
220036, The Republic of Belarus,
Minsk, Rosa Luxemburg str., 110,
4th N.E. Savchenko City Clinical Hospital,
Department of Vascular Surgery,
Tel.: +375 (17) 286-19-52,
+375 (29) 3852753,
E-mail: kolia_med@mail.ru,
Nikolay A. Rogovoy
Information about the authors:
Yanushko V.A., MD, Professor, Head of the Laboratory of Vessels Surgery of the Republican Scientific and Practical Centre Cardiology.
Rogovoy N.A., Vascular Surgeon of the Department of Vascular Surgery of the 4th N.E. Savchenko City Clinical Hospital.
Turliuk D.V., PhD, Associate Professor, Leading Researcher of the Laboratory of Vessels Surgery of the Republican Scientific and Practical Centre Cardiology.
Klimchuk I.P., PhD., Headof the Department of Vascular Surgery of the 4th N.E. Savchenko City Clinical Hospital.
Kalinin S.S, Head of the Department of Vascular Surgery of the 4th N.E. Savchenko City Clinical Hospital.
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