Ways of Improvement of Safety and Efficiency of Endovenous Laser Coagulation in Treatment of Lower Limb Varicose Vein Disease

Roman Kohan, Volodymyr Goshchynsky


Nowadays endovenous laser coagulation is the priority method of treatment of lower limb varicose vein disease. However, there are a number of specific complications that reduce efficiency of its usage.

The objective of the research was to decrease specific postoperative complications after endovenous laser coagulation due to the introduction of its mathematical design.

Materials and methods. The study included 168 patients with lower limb varicose vein disease. Prior to surgery the mathematical calculation of the basic parameters of laser coagulation such as density of laser irradiation and rate of reverse movement of the light pipe depending on the diameter of varicose veins was made. The control group consisted of 146 patients with varicose vein disease; the aforementioned parameters were established according to the instruction of using a laser device.

Results.  The analysis of complications such as induration of skin over coagulase great or small saphenous vein, phlebitis in the projection of the great or small saphenous vein, ecchymosis or dermatomelasma in the early postoperative period, pain syndrome showed the reduction in the number of complications while applying the mathematical model of calculation of linear density of laser radiation and the speed of reverse traction of the light pipe with its transfer to the graphic image.

Conclusions.  The application of the mathematical model of calculation of linear density of laser radiation and the speed of reverse traction of the light pipe with its transfer to the graphic image allows us to improve the results of endovenous laser coagulation for varicose veins due to the reduction in specific complications.


varicose vein disease; endovenous laser coagulation

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Belyaev A. Property damage of the the wall of venous vein of endovasal electro coagulation of the great saphenous vein. Flebolohyia. 2013; 7 (1): 36-41.

Hoschynskyy V. The structure of postoperative complications after the endovenous laser coagulation of varicose veins of the lower limbs. Bulletin of scientific research. 2012; 2 : 121-122.

Iliuhyn E. Substantiation of modes of application of endovascular techniques in the surgical treatment of varicose veins. Extended abstract of PhD dissertation. 2014. 20 p.

Shaydov E. Comparison of laser wavelength of 970 nm and 1470 in the simulation laser obliteration of the veins in vitro. Flebolohyya. 2011; 4: 23-29.

Shaydakov E. Optimum modes of endovenous laser obliteration with a wavelength of 970, 1470 and 1560 nm: a retrospective longitudinal cohort multicenter study. Flebolohyya. 2013; 7 (1): 22-29.

Shevchenko Y. Selecting the optimal radiation parameters for the 1470 nm endovenous laser obliteration. Flebolohyya. 2013; 4: 18-24.

Disselhoff B. Endovenous laser ablation: an experimental study on the mechanism of action. Phlebology. 2008; 23(2): 69-76. http://dx.doi.org/10.1258/phleb.2007.007038

Vuylsteke M. Endovenous laser treatment: a morphological study in an animal model. Phlebology. 2009; 24(4): 166-175. http://dx.doi.org/10.1258/phleb.2009.008070

DOI: http://dx.doi.org/10.21802/gmj.2016.3.33

Copyright (c) 2017 Roman Kohan, Volodymyr Goshchynsky

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