Feasibility of radiofrequency ablation of great saphenous varicose veins in day surgery_West China Medical Journal

Authors：

WANG Haitao , SUN Yingjie , LIU Sidan ,  SONG Dandan

Ambulatory Center of Anesthesiology Department, General Hospital of Northen Theater Command, Shenyang, Liaoning 110000,P. R. China;

Corresponding?author：

SONG Dandan, Email: songdandan6@163.com

Keywords：

Great saphenous varicose veins; Radiofrequency ablation; Ambulatory surgery

DOI：

10.7507/1002-0179.201912067

Video：

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Objective To explore the feasibility of radiofrequency ablation of great saphenous varicose veins in ambulatory surgery.Methods Patients who underwent radiofrequency ablation of great saphenous varicose veins between May 2018 and June 2019 in General Hospital of Northen Theater Command were prospectively selected. According to their choices of treatment modes, patients were divided into two groups, day surgery group and routine inpatient group. The preoperative waiting time, length of hospital stay, and hospitalization expenses of the two groups were compared. The postoperative pain, tenderness, and complications were followed up on the first day (the next day after operation), the third day, and the fourteenth day after operation, and the time of return to normal life and work and patients’ satisfaction in two groups were recorded.Results A total of 95 patients were enrolled, including 52 in the day surgery group and 43 in the routine inpatient group. There was no significantly difference in age, gender, heart rate, mean arterial pressure, or operation time between the two groups (P>0.05). Compared with the routine inpatient group, the day surgery group had shorter preoperative waiting time, shorter length of hospital stay, and lower hospitalization expenses (P<0.05). In the day surgery group, the time of return to normal life and the time of return to work were shorter and patients’ satisfaction was significantly higher than those in the routine inpatient group (P<0.05). There was no significant difference in pain, tenderness, or paresthesia scores between the two groups after surgery according to the follow-up assessment (P>0.05); the pain, tenderness, and paresthesia scores on the first day and the third day were significantly different from those on the fourteenth day after surgery, indicating that the longer the postoperative time of the two groups, the less pain, tenderness, and paresthesia scores were.Conclusion Radiofrequency ablation of great saphenous varicose veins in ambulatory surgery has a short hospital stay, low medical cost, high patient satisfaction, and can ensure the safety of treatment at the same time, which is worthy of clinical promotion

Citation： WANG Haitao, SUN Yingjie, LIU Sidan, SONG Dandan. Feasibility of radiofrequency ablation of great saphenous varicose veins in day surgery. West China Medical Journal, 2021, 36(2): 190-194. doi: 10.7507/1002-0179.201912067 Copy

1.	戴佳奇, 吳婷婷, 殷志強, 等. 甲狀腺日間手術規范化分析. 腫瘤學雜志, 2015, 21(6): 454-458.
2.	劉小南, 俞德梁, 趙青川, 等. 關于日間手術模式的研究及應用進展. 醫學與哲學, 2014, 35(4): 56-59.
3.	孫麗娜, 覃文, 錢立友, 等. 大隱靜脈射頻消融閉合術治療大隱靜脈曲張的臨床分析. 醫學理論與實踐, 2019, 32(13): 2052-2054.
4.	Burihan MC. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices. Sao Paulo Med J, 2014, 132(1): 69.
5.	Proebstle TM, Alm J, G?ckeritz O, et al. Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of calf varicosities. J Vasc Surg, 2011, 54(1): 146-152.
6.	Eidson JL 3rd, Atkins MD, Bohannon WT, et al. Economic and outcomes-based analysis of the care of symptomatic varicose veins. J Surg Res, 2011, 168(1): 5-8.
7.	舒暢, 黎明. 大隱靜脈曲張治療方法合理選擇及評價. 中國實用外科雜志, 2015, 35(12): 1271-1276.
8.	何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
9.	高解春, 楊佳泓, 劉軍, 等. 日間手術的內涵及適宜范圍研究. 中國醫院, 2015, 19(4): 3-6.
10.	于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
11.	白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
12.	李春龍, 姚立正, 李文會, 等. 腔內激光閉合術與傳統外科手術治療下肢靜脈曲張對比研究. 介入放射學雜志, 2017, 26(4): 305-308.
13.	邵長剛, 王斌, 遲國慶, 等. 大隱靜脈射頻消融術療效分析. 中國醫刊, 2019, 54(8): 887-890.
14.	Lurie F, Creton D, Eklof B, et al. Prospective randomized study of endovenous radiofrequency obliteration (closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study). J Vasc Surg, 2003, 38(2): 207-214.
15.	Merchant RF, DePalma RG, Kabnick LS. Endovascular obliteration of saphenous reflux: a multicenter study. J Vasc Surg, 2002, 35(6): 1190-1196.
16.	Poder TG, Fisette JF, Bédard SK, et al. Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis. Can J Surg, 2018, 61(2): 128-138.
17.	辛志軍, 鄭國權, 張西峰, 等. 脊柱內鏡日間手術模式治療腰椎疾患失敗病例分析及其防治策略. 中國疼痛醫學雜志, 2019, 25(2): 114-119.
18.	李春蕊, 王天紅, 王晶晶, 等. 疼痛微創介入技術日間手術模式的實踐與思考. 中國疼痛醫學雜志, 2018, 24(12): 917-920.

1. 戴佳奇, 吳婷婷, 殷志強, 等. 甲狀腺日間手術規范化分析. 腫瘤學雜志, 2015, 21(6): 454-458.
2. 劉小南, 俞德梁, 趙青川, 等. 關于日間手術模式的研究及應用進展. 醫學與哲學, 2014, 35(4): 56-59.
3. 孫麗娜, 覃文, 錢立友, 等. 大隱靜脈射頻消融閉合術治療大隱靜脈曲張的臨床分析. 醫學理論與實踐, 2019, 32(13): 2052-2054.
4. Burihan MC. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices. Sao Paulo Med J, 2014, 132(1): 69.
5. Proebstle TM, Alm J, G?ckeritz O, et al. Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of calf varicosities. J Vasc Surg, 2011, 54(1): 146-152.
6. Eidson JL 3rd, Atkins MD, Bohannon WT, et al. Economic and outcomes-based analysis of the care of symptomatic varicose veins. J Surg Res, 2011, 168(1): 5-8.
7. 舒暢, 黎明. 大隱靜脈曲張治療方法合理選擇及評價. 中國實用外科雜志, 2015, 35(12): 1271-1276.
8. 何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
9. 高解春, 楊佳泓, 劉軍, 等. 日間手術的內涵及適宜范圍研究. 中國醫院, 2015, 19(4): 3-6.
10. 于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
11. 白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
12. 李春龍, 姚立正, 李文會, 等. 腔內激光閉合術與傳統外科手術治療下肢靜脈曲張對比研究. 介入放射學雜志, 2017, 26(4): 305-308.
13. 邵長剛, 王斌, 遲國慶, 等. 大隱靜脈射頻消融術療效分析. 中國醫刊, 2019, 54(8): 887-890.
14. Lurie F, Creton D, Eklof B, et al. Prospective randomized study of endovenous radiofrequency obliteration (closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study). J Vasc Surg, 2003, 38(2): 207-214.
15. Merchant RF, DePalma RG, Kabnick LS. Endovascular obliteration of saphenous reflux: a multicenter study. J Vasc Surg, 2002, 35(6): 1190-1196.
16. Poder TG, Fisette JF, Bédard SK, et al. Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis. Can J Surg, 2018, 61(2): 128-138.
17. 辛志軍, 鄭國權, 張西峰, 等. 脊柱內鏡日間手術模式治療腰椎疾患失敗病例分析及其防治策略. 中國疼痛醫學雜志, 2019, 25(2): 114-119.
18. 李春蕊, 王天紅, 王晶晶, 等. 疼痛微創介入技術日間手術模式的實踐與思考. 中國疼痛醫學雜志, 2018, 24(12): 917-920.

West China Medical Journal

Feasibility of radiofrequency ablation of great saphenous varicose veins in day surgery

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