Alwahbi Abdullah
King Saud bin Abdulaziz University for Health Sciences, Department of Surgery, Dr Sulaiman Al Habeeb Hospital, Department of Surgery, Riyadh, Saudi Arabia.
Vasc Health Risk Manag. 2025 May 17;21:403-409. doi: 10.2147/VHRM.S518681. eCollection 2025.
Endovenous Laser Ablation (EVLA) is the recommended method for treating varicose veins. It is commonly performed in an inpatient or as day surgery setting under either general or spinal anesthesia. The purpose of this study is to assess the technical efficacy and safety performing outpatient EVLA for varicose veins under local tumescent anesthesia for procedure success, complications, recovery time, and patient satisfaction.
A retrospective review of 300 consecutive patients who underwent outpatient EVLA under local tumescent anesthesia from October 2014 to June 2019 was undertaken. Patients 25-55 years diagnosed with symptomatic varicose veins and Great Saphenous Vein (GSV) incompetence were enrolled. Patient demographics, clinical characteristics, procedure duration, complications, and follow-up outcomes were recorded.
A total of 331 limbs were treated. The mean procedure time was 36 minutes. Five procedures were aborted for technical reasons, resulting in an overall technical success rate of 98%. They were minor complications of bruising (13%) and phlebitis (5%), that were resolved and did not require further intervention. There were no significant complications, including deep vein thrombosis (DVT) or pulmonary embolism (PE). Patients were discharged and resumed normal activities within approximately seven days and were well satisfied.
EVLA for varicose veins can be performed as an outpatient procedure under local tumescent anesthesia safely and with high technical efficiency. It offers the benefits of shorter recovery times, less risk of complications, and lower health care costs.
静脉腔内激光消融术（EVLA）是治疗静脉曲张的推荐方法。该手术通常在住院患者中进行，或在全身麻醉或脊髓麻醉下作为日间手术进行。本研究的目的是评估在局部肿胀麻醉下对静脉曲张进行门诊EVLA的技术疗效和安全性，包括手术成功率、并发症、恢复时间和患者满意度。
对2014年10月至2019年6月期间连续300例行局部肿胀麻醉下门诊EVLA的患者进行回顾性研究。纳入年龄在25-55岁、诊断为有症状静脉曲张和大隐静脉（GSV）功能不全的患者。记录患者的人口统计学资料、临床特征、手术时间、并发症和随访结果。
共治疗331条肢体。平均手术时间为36分钟。5例手术因技术原因中止，总体技术成功率为98%。出现了轻微并发症，包括瘀伤（13%）和静脉炎（5%），均已缓解，无需进一步干预。没有出现包括深静脉血栓形成（DVT）或肺栓塞（PE）在内的严重并发症。患者在大约7天内出院并恢复正常活动，满意度较高。
静脉曲张的EVLA可以在局部肿胀麻醉下作为门诊手术安全地进行，且技术效率高。它具有恢复时间短、并发症风险低和医疗成本低的优点。
