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• W4206977406 abstract "The long-term results of saphenofemoral ligation and stripping (SFL/S) were compared with 980-nm bare fiber endovenous laser ablation (EVLA) for the treatment of great saphenous vein incompetence. This was a single-center, randomized, controlled trial with a follow-up time of 10 years. Patients with great saphenous vein incompetence were randomized to undergo SFL/S or EVLA under tumescent anesthesia. The primary outcome was groin-related recurrence varicose veins seen on duplex ultrasound imaging and physical examination. The secondary outcomes included the Clinical, Etiology, Anatomy, and Pathophysiology classification, venous symptoms, cosmetic outcome, quality of life, secondary procedures, and complications. Between June 2007 and December 2008, 122 patients (130 legs) were included; of these, 68 legs were treated with SFL/S and 62 legs with EVLA. The 10-year estimated freedom from groin recurrence as seen on duplex ultrasound imaging was higher in the SLF/S group (73% vs 44% in the EVLA group; P = .002), and the same trend was seen clinically (77% vs 58%, respectively; P = .034). Nine reinterventions (17%) were deemed necessary in the SFL/S group vs 18 (36%) in the EVLA group (P = .059). All reinterventions in the SFL/S group consisted of foam sclerotherapy. Reinterventions in the EVLA group included foam sclerotherapy (n = 5), crossectomy (n = 2), and endovenous procedures (n = 11). There was no significant difference in quality of life and relief of symptoms. Cosmetic appearance improved, with a better cosmetic rating in the SFL/S group compared with the EVLA group (P = .026). One patient in the SFL/S group had a persisting neurosensory deficit remaining at 10 years. At 10 years, more groin recurrences were seen after EVLA than after SFL/S. The difference in the number of reinterventions was not significant, although reinterventions in the EVLA group were more invasive. Cosmetic improvement was greater in the SLF/S group. Clinical improvement, relief of venous symptoms, and quality of life were comparable in both groups.TableBaseline characteristics of patients and the Clinical, Etiology, Anatomy, and Pathophysiology (CEAP) classification.CharacteristicsSFL/S (n = 68)EVLA (n = 62)PaPatient characteristics Sex.62 Male15 (22)16 (26) Female53 (78)46 (74) Leg.66 Left leg27 (40)27 (44) Right leg41 (60)35 (56) Age, years50 ± 10.549 ± 11.0.68 Body mass index, kg/m224.5 ± 3.725 ± 3.3.57 Diameter of SFJ, cm0.92 ± 0.270.88 ± 0.22.43 Diameter of GSV at knee level, cm0.64 ± 0.140.64 ± 0.16.90 Length of treated GSV, cm40.8 ± 7.5 Total joules2600 ± 428 Joules per cm64.5 ± 6.8CEAP classification C00 (0)0 (0) C10 (0)0 (0) C226 (38)29 (47).29 C336 (53)29 (47).43 C45 (7)4 (6).86 C51 (1)0 (0).34 C60 (0)0 (0)EVLA, Endovenous laser ablation; GSV, great saphenous vein; SFJ, saphenofemoral junction; SFL/S, saphenofemoral ligation and stripping.Data are presented as number (%) or mean ± standard deviation.aP value of the difference between treatment groups. Open table in a new tab Fig 2Kaplan-Meier curves for freedom from clinical groin recurrence. EVLA, Endovenous laser ablation; SFL/S, saphenofemoral ligation and stripping.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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• W4206977406 date "2021-09-01" @default.
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• W4206977406 title "Ten-Year Follow-up of a Randomized, Controlled Trial Comparing Saphenofemoral Ligation and Stripping of the Great Saphenous Vein With Endovenous Laser Ablation Using Local Tumescent Anesthesia" @default.
• W4206977406 doi "https://doi.org/10.1016/j.jvs.2021.06.302" @default.
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