title: Endovenous laser ablation under general anesthesia for day surgery: feasibility and outcomes of the 300 patients.
abstract: OBJECTIVE
  Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.
  
  
  METHODS
  The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.
  
  
  RESULTS
  Mean duration of operation and anesthesia was 28 (12-55) and 40 (20-65) minutes, respectively. Mobilization and discharge timing was 25 (11-45) and 139 (110-200) minutes, respectively. All patients were discharged the same day of surgery.
  
  
  CONCLUSIONS
  The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients' pain and discomfort during the EVLT procedure within the scope of day case surgery.
authors.affiliation: Department of Anesthesiology and Reanimation, Selcuk University Faculty of Medicine, Konya, Turkey.
authors.forename: Oguzhan
authors.initials: O
authors.lastname: Arun
authors.forename: Bahar
authors.initials: B
authors.lastname: Oc
authors.forename: Ates
authors.initials: A
authors.lastname: Duman
authors.forename: Serkan
authors.initials: S
authors.lastname: Yildirim
authors.forename: Murat
authors.initials: M
authors.lastname: Simsek
authors.forename: Bora
authors.initials: B
authors.lastname: Farsak
authors.forename: Mehmet
authors.initials: M
authors.lastname: Oc
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects; D000768:Anesthesia, General / Q000009:adverse effects; D000772:Anesthesia, Local; D002908:Chronic Disease; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D053685:Laser Therapy / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control; D010351:Patient Discharge; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult