title: [Endovenous laser obliteration and combined phlebectomy for treatment of varicose veins in elderly and senile patients].
abstract: In the available literature, we have found no comparative data on the efficiency and safety of endovenous laser ablation (EVLA) and traditional phlebectomy in elderly and senile patients. According to our results, in elderly and senile patients, the pain syndrome is much less pronounced after EVLA as compared with phlebectomy, the frequency of ecchymosis with an area of more than 100 cm2 and distal thrombosis of deep veins is lower. In the analyzed groups, there are no significant differences in the frequency of post-surgical complications after surgical intervention. Both EVLA and phlebectomy eliminate pathological reflux of the great saphenous vein with the same degree of reliability, within the period of examination of 1 year. In elderly and senile patients, the time for return to daily activity is significantly reduced after EVLA as compared to that after combined phlebectomy.
authors.forename: E V
authors.initials: EV
authors.lastname: Shaĭdakov
authors.forename: V Kh
authors.initials: VKh
authors.lastname: Khavinson
authors.forename: V L
authors.initials: VL
authors.lastname: Bulatov
authors.forename: I N
authors.initials: IN
authors.lastname: Son'kin
authors.forename: D A
authors.initials: DA
authors.lastname: Rosukhovskiĭ
authors.forename: E A
authors.initials: EA
authors.lastname: Iliukhin
authors.forename: A G
authors.initials: AG
authors.lastname: Grigorian
authors.forename: O I
authors.initials: OI
authors.lastname: Tsarev
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D057186:Comparative Effectiveness Research; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D010149:Postoperative Pain / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D020127:Recovery of Function; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography; D014648:Varicose Veins / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery