Secondary end points were postoperative symptoms (pain, use of analgesics, paresthesia at the ankle, residual hematoma), complications, time taken to resume work, the patient’s satisfaction with the cosmetic outcome, and the CIVIQ quality of life score at 16 weeks.
Results: The groups were well matched at baseline. In all, 95 patients could be followed up in accordance with the protocol. The treatment was successful in all patients.
Endovenous laser ablation was associated with an occlusion rate of 100%. Hematomas were significantly smaller after EVLA (median [quartiles]) at 125 (55-180) cm(2) vs stripping 200 (123-269) cm(2) (p =.001). No difference this website was registered between groups for the CIVIQ quality of life score, with EVLA at – 1.25 (-7.5-11.25) vs stripping at 4.38 (-5.94-14.38; P =.34). Several postoperative see more symptoms
favored EVLA, but the only significant differences were seen in the minor side effects of surgery at 1 and 4 weeks and discomfort due to paresthesia at the ankle in the first postoperative week. EVLA was associated with a longer period of time until return to work (median [quartiles]) of 20 (14-25.5) days vs 14 (12.8-25) days (P =.054).
Conclusion: Endovenous laser ablation combined with high ligation is safe and effective. Postoperative hematomas are significantly smaller
than those after stripping. Short-term quality of life is at least as good as that after stripping. The long-term results warrant further investigation.”
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