980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia

Lakhwani, MN, Dadlani, NI and Wong, YC (2009) 980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia. ANZ Journal of Surgery, 79 5: 352-357. doi:10.1111/j.1445-2197.2009.04888.x

Author Lakhwani, MN
Dadlani, NI
Wong, YC
Title 980-nm laser therapy versus varicose vein surgery in racially diverse Penang, Malaysia
Journal name ANZ Journal of Surgery   Check publisher's open access policy
ISSN 1445-1433
Publication date 2009-06-15
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1445-2197.2009.04888.x
Open Access Status
Volume 79
Issue 5
Start page 352
End page 357
Total pages 6
Editor I. Gough
P.H. Chapuis
J.C. Hall
Place of publication Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject C1
92 Health
11 Medical and Health Sciences
Abstract Background: Chronic venous disorders are conditions of increasing prevalence in the developing world, and venous ulceration is the terminal sequel. Currently there are only limited data on all aspects of this from Southeast Asia. The aim of the present study was to assess differences in the demography and outcome between varicose vein surgery (VVS) and the relatively new endovenous laser therapy (EVT) in patients from Penang, Malaysia. Methods: A retrospective study was performed. Patients who presented to the outpatient clinic of the surgical department with saphenofemoral junction and/or saphenopopliteal junction incompetence associated with reflux of the great saphenous vein or small saphenous vein, respectively, underwent either surgery (1999–2004) or laser therapy (2004–2006). A single surgeon at a single institution performed all procedures. Results: A total of 350 limbs were treated from 292 patients. Demographics, symptoms, outcomes and complications that arose in both groups were compared. There were significant improvements in pains, swelling, cramps and heaviness postoperatively (P < 0.001) in both groups. Deep venous thrombosis was present as a complication in the VVS group at 3.0%, but was absent altogether in the EVT group. Conclusions: Although both are highly effective procedures, laser therapy has become popular as an elective procedure with its minimally invasive nature, cosmesis, rapid recovery and other advantages. Surgery remains an important and very cost-effective procedure, especially in a developing society such as Penang.
Keyword Varicose veins
Venous disorders
Venous ulcers
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Medicine Publications
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Created: Thu, 03 Sep 2009, 17:58:05 EST by Mr Andrew Martlew on behalf of School of Medicine