Department of Vascular Surgery, Mosaderma Clinics, Hoensbroek, The Netherlands.
Sanalink, The Netherlands.
Surg Technol Int. 2021 Jun 28;39:267-271. doi: 10.52198/21.STI.39.CV1453.
A critical appraisal of the original procedure of endovenous laser ablation (EVLA) for varicose veins.
Evaluation of all practical aspects of the procedure.
EVLA procedures are performed in a strictly ambulatory setting with tumescent local anesthesia (TLA). Technical improvements have resulted in the need for fewer incisions and re-punctures, less ecchymosis, and fewer technical failures. Administration of an appropriate amount of TLA via an infusion pump has reduced the risk of nerve injury, administration time, and pain during the procedure. Use of a 1470-nm diode laser and a radial fiber have significantly improved patient satisfaction and reduced the occurrence of complications such as pain, tightness, ecchymosis, and the need for additional procedures. Lastly, there are only a few indications left for high ligation and stripping.
Over the past 20 years, EVLA has evolved into an effective, cost-efficient, and safe procedure that provides high patient satisfaction.
对静脉内激光消融术（EVLA）治疗静脉曲张的原始程序进行批判性评估。
评估该程序的所有实际方面。
EVLA 手术在严格的门诊环境下进行，采用肿胀局部麻醉（TLA）。技术改进导致切口和再穿刺次数减少，瘀斑减少，技术失败减少。通过输注泵给予适量的 TLA 可降低神经损伤、给药时间和手术过程中的疼痛风险。使用 1470nm 二极管激光和径向光纤可显著提高患者满意度，并减少疼痛、紧绷、瘀斑和需要额外手术等并发症的发生。最后，只剩下少数高位结扎和剥脱的适应证。
在过去的 20 年中，EVLA 已发展成为一种有效、经济高效且安全的手术，可提供高度的患者满意度。
