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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2007, Number 3

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Rev Mex Angiol 2007; 35 (3)

It the inferior members varicose endoluminal laser

Carmelino MCA, Flores CJA, Boggiano R

Language: Spanish
References: 28
Page: 108-117
PDF size: 196.04 Kb.


ABSTRACT

Introduction: Varicose veins surgery has experienced through the years many advances, in looking for to be less cruel, with smaller complications, minor hospital stay, predominance of less incisions and greater possible esthetic result.
Objective: To show that endoluminal laser surgery can perfectly be used in other sectors different from the internal and external saphenous vein.
Material and methods: We used in our work an equipment of Laser Diode with wavelength 980nm, an optical fiber of 400 microns; applied powers varied according to the characteristics of the skin in the zone to treat, in carrying patients of chronic venous insufficiency with varicose pathology.
Operating technique: The patient is prepared before entering hospital; he is hospitalized unfed an hour before the procedure. He is checked in operating theater, a peripheral venous line is placed and anesthesia is administered according to each patient convenience and possible surgery duration. Saphenous vein is boarded in most of the cases from internal malleolus, sometimes we approached from the patellar region.
Results: The rate of success in internal saphenous vein occlusion was 98%; and the appreciated occlusion in post operating in the varicose places was 100% in 94% of patients, in 6% of patients we could appreciate some of the treated sectors that had not been occluded and that required additional procedures in doctor’s office.
Discussion: It is certain that can be appealed to conventional or video endoscopic surgery, but in our work we depart from the premise of laser surgery could be less aggressive and to damage less skin, which can allow a less delayed surgery.
Conclusions: The natural evolution of medical science tends to be every time more human in its procedures; reason why this specialty is one of the most privileged as far as the advances in the venous surgery video endoscopic, laser and radio frequency attended.


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