Therapeutie effect of venous insufficiency in the lower limbs by combination endovenous electrocoagulation and vascular surgery: A report of 46 cases

Objective: To evaluate results of endovenous treatment of superficial varicosities in lower extremities with fulguration.Methods: Endovenous fulguration therapy combined with high ligation of great saphenous vein in 16 limbs of 12 patients;endovenous fulguration therapy combined with external banding valvuloplasty of superficial femoral vein and high ligation of great saphenous vein in 14 limbs of 14 patients;endovenous fulguration therapy combined with high ligation of great saphenous vein and perforator(s) through video assisted endoscopy in 18 limbs of 18 patients;endovenous fulguration therapy combined with high ligation of great saphenous vein,external banding valvuloplasty of superficial femoral vein and perforator(s) through video assisted endoscopy in 18 limbs of 18 patients.Results: All patients were followed up from 2 to 27 months(mean 6.12 months) with satisfactory results.No recurrence was observed.Conclusions: Endovenous fulguration therapy is a therapeutic entity with advantages of safety,effectiveness,minimal invasiveness,easy technology and without any scar.It can be used in combination with surgery as well.