The Turkish Journal of Vascular Surgery

Yazarlar: Köksal Dönmez, Şahin İşcan

Konular:-

Anahtar Kelimeler:Endovenous laser ablation; small saphenous vein; varicose veins

Özet: Objectives: In this study, we present our surgical approach to small saphenous vein reflux and short-term endovenous laser ablation experiences. Patients and methods: A total of 35 patients (20 males, 15 females; mean age 43.8±14.4 years; range, 20 to 70 years) who were operated for small saphenous vein reflux in our clinic between January 2017 and October 2017 were retrospectively analyzed. Age, gender, preoperative comorbidities, diameters of the small and great saphenous veins, venous injury scores, surgical method, anesthesia techniques, and postoperative complications were evaluated. Results: The mean operated small saphenous vein diameter was 9.5±2.2 cm. Sedation analgesia (n=10, 29%) and tumescent anesthesia (n=25, 71%) were used. Endovenous laser ablation was performed to 21 patients (60%). The small saphenous vein division and partial excision were performed to 13 patients (37%). We had only one complicated operation due to catheterization failure, and we performed ultrasound-guided sclerosing agent infusion to the small saphenous vein. We also performed varicose pack excision in 19 patients (54%) and perforator vein ligation in six patients (17%) in a single session. We observed no sural nerve injury in any patient during the postoperative period. Conclusion: Today, surgical experience for small saphenous vein has been steadily increasing. Endovenous techniques are still the most optimal options for small saphenous vein surgery and can be safely used under the guidance of ultrasound to avoid complications.

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