Does the direction of tumescent solution delivery matter in endovenous laser ablation of the great saphenous vein?

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dc.contributor.authorKutaş, Barış
dc.contributor.authorÖzdemir, Ferit
dc.contributor.authorGüneş, Tevfik
dc.contributor.authorErkoç, Kamuran
dc.contributor.authorTezcan, Orhan
dc.contributor.authorAltın, Fırat
dc.contributor.authorKarahan, Oğuz
dc.date.accessioned2024-04-24T17:56:33Z
dc.date.available2024-04-24T17:56:33Z
dc.date.issued2015
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractBackground: The aim of this study was to compare the two different directions of tumescent solution delivery (from distal to proximal knee to the saphenofemoral junction [SFJ] or proximal to distal SFJ to the knee) in terms of differences in tumescent volume, number of punctures, and pain and comfort scores of patients. Methods: A total of 100 patients were treated with endovenous laser ablation (EVLA) under local anesthesia between August 2013 and October 2013. These 100 patients were divided into two groups. In group 1, tumescent solution was delivered in a proximal to distal direction. In group 2, the tumescent solution was delivered in a distal to proximal direction. In each group, the great saphenous vein (GSV) diameter, delivered total energy, treated GSV length, delivered tumescent volume, number of punctures, and pain and comfort scores were recorded for each patient. Results: All patients were treated unilaterally. EVLA was performed with 100% technical success in all patients. There was no difference statistically between group 1 and group 2 according to GSV diameter, delivered total energy, and treated GSV length. Average tumescent volume, number of punctures, and pain scores in group 2 were lower than in group 1 (p = 0.0001; p < 0.05). Also, the average comfort score was higher in group 2 than in group 1 (p = 0.0001; p < 0.05). We believe that delivering the tumescent solution in a distal to proximal direction increases the comfort of both patient and surgeon with lower tumescent volume during the EVLA of the GSV.en_US
dc.identifier.citationKutaş, B., Özdemir, F., Güneş, T., Erkoç, K., Tezcan, O., Altın, F. ve diğerleri. (2015). Does the direction of tumescent solution delivery matter in endovenous laser ablation of the great saphenous vein?. Therapeutic Advances in Cardiovascular Disease, 9(6), 397-402.
dc.identifier.doi10.1177/1753944715599729
dc.identifier.endpage402en_US
dc.identifier.issn1753-9447
dc.identifier.issue6en_US
dc.identifier.pmid26289048
dc.identifier.scopus2-s2.0-84960929108
dc.identifier.scopusqualityQ2
dc.identifier.startpage397en_US
dc.identifier.urihttps://doi.org/10.1177/1753944715599729
dc.identifier.urihttps://hdl.handle.net/11468/23568
dc.identifier.volume9en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.relation.ispartofTherapeutic Advances in Cardiovascular Disease
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDirection of deliveryen_US
dc.subjectEndovenous laser ablationen_US
dc.subjectPain and comfort scoresen_US
dc.subjectTumescent solutionen_US
dc.titleDoes the direction of tumescent solution delivery matter in endovenous laser ablation of the great saphenous vein?en_US
dc.titleDoes the direction of tumescent solution delivery matter in endovenous laser ablation of the great saphenous vein?
dc.typeArticleen_US

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