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J.Jpn. Surg. Soc.. 116(3): 155-160, 2015


Feature topic

ENDOVENOUS LASER TREATMENT FOR VARICOSE VEINS

1) Ginza 7th Avenue Clinic, Tokyo, Japan
2) Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, Tokyo, Japan

Masahiro Tezuka1)2), Yuji Kanaoka1)2), Takao Ohki1)2)

Varicose veins are a common condition affecting approximately 10 million patients in Japan. The main cause of varicose veins is reflux of the saphenous vein, and conventional treatment for several decades was stripping the affected saphenous vein and phlebectomy. Endovenous laser treatment (EVLT) is a less-invasive treatment method in which the saphenous vein is ablated with a laser under local anesthesia. EVLT has been approved by the Japanese Ministry of Health, Labor and Welfare since 2011, and we have performed EVLT on 5,160 legs with saphenous insufficiency with no severe complications including deep vein thrombosis except for one case of arteriovenous fistula. EVLT appears to be a safe, effective treatment option for varicose veins with saphenous insufficiency.


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