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O.V. Golovanova

Pirogov Russian National Research Medical University

O.I. Efremova

Pirogov Russian National Research Medical University

E.I. Seliverstov

Pirogov Russian National Research Medical University

A.N. Kuznecov

Pirogov National Medical and Surgical Center

I.A. Zolotukhin

Pirogov Russian National Research Medical University

Incidence and Severity of the Cord Feeling after Thermal Ablation of Great Saphenous Vein Decrease under Topical Treatment

Authors:

O.V. Golovanova, O.I. Efremova, E.I. Seliverstov, A.N. Kuznecov, I.A. Zolotukhin

More about the authors

Journal: Journal of Venous Disorders. 2022;16(4): 256‑261

DOI: 10.17116/flebo202216041256

Read: 3273 times

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Table of contents

INCIDENCE AND SEVERITY OF THE CORD FEELING AFTER THERMAL ABLATION OF GREAT SAPHENOUS VEIN DECREASE UNDER TOPICAL TREATMENT
INCIDENCE AND SEVERITY OF THE CORD FEELING AFTER THERMAL ABLATION OF GREAT SAPHENOUS VEIN DECREASE UNDER TOPICAL TREATMENT

To cite this article:

Golovanova OV, Efremova OI, Seliverstov EI, Kuznecov AN, Zolotukhin IA. Incidence and Severity of the Cord Feeling after Thermal Ablation of Great Saphenous Vein Decrease under Topical Treatment. Journal of Venous Disorders. 2022;16(4):256‑261. (In Russ.)
https://doi.org/10.17116/flebo202216041256

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To assess the incidence and severity of the cord feeling after thermal ablation of great saphenous vein (GSV) and the possibility of its relief by topical treatment.

MATERIAL AND METHODS. N

On-randomized comparative study enrolled 80 patients with lower limb varicose veins CEAP C2-C4. Radiofrequency ablation of GSV on the thigh was performed. In postoperative period, topical treatment was prescribed in addition to standard therapy. In the main group (n=40), patients used gel containing troxerutin and indomethacin. In the control group (n=40), patients applied gel for skin care. Patients applied gel along the course of the ablated GSV for 10 days. We analyzed incidence and severity of the cord feeling and pain syndrome.

RESULTS

After 10 days, cord feeling was detected in 20 (50%) and 28 (70%) patients, respectively (p=0.11). VAS score of this symptom was 1.02±1.64 (range 0-7) and 2.04±2.31 (range 0-8.8), respectively (p=0.017). One month later, cord feeling persisted in 7 (18%) and 18 (45%) patients, respectively (p=0.015). Pain along the ablated GSV after 5 days was found in 13 (33%) and 17 (43%) cases, respectively (p=0.489). Two (5%) and nine (23%) patients used painkillers within 10 days after surgery, respectively (p=0.048).

CONCLUSION

The gel with indomethacin and troxerutin reduced severity and incidence of cord feeling after radiofrequency ablation of the great saphenous vein.

Keywords:

cord feeling
topical treatment
radiofrequency ablation
indometacin
troxerutin

Authors:

O.V. Golovanova

Pirogov Russian National Research Medical University

O.I. Efremova

Pirogov Russian National Research Medical University

E.I. Seliverstov

Pirogov Russian National Research Medical University

A.N. Kuznecov

Pirogov National Medical and Surgical Center

I.A. Zolotukhin

Pirogov Russian National Research Medical University

Received:

12.09.2022

Accepted:

25.09.2022

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References:

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