Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery

Background: Varicose veins involve at least 20% in the world population. Our study is focusing on the clinical evaluation and management of varicose veins using newly advanced technique Endovenous Laser Ablation (EVLA) to improve the quality of patients care. Objectives: To study the clinical presentations, management including Endovenous Laser Ablation and its outcome in varicose vein patients.Methods: A total 30 patients with primary varicose veins(15-45 years old) Most of them were males 26(86%), rest are females 4(14%), investigated, operated using diode laser 980 nm, under LA and followed up for 6 months and their Final outcome evaluated. Results: In this study we include young adult and middle aged varicose veins patients and majority of patients sought medical help for painful legs 100%, visible varicose vein (93.33%), skin discoloration 16.67%, the whole length Long saphenous vein involvement was seen in (78.125%) of patients and SSV involvement in (6.25%).ELA of Truncal involvement done with success rate about 97%, no recurrence in follows upInterpretation & conclusion: Majority of the patients with Truncal varicose veins associated with or without venous ulcers appeared to have their best chance using EVLA under our settings

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