Authors
Shirinbek О.1, Mnatsakanyan G.V.1, Odinokova S.N.1, 2
1 Department and the Phlebology Center SM-Clinic, Moscow
2 Sechenov First Moscow State Medical University, Moscow
Abstract
Introduction. In modern surgery, when office-based technologies are becoming more widespread, it seems fundamental not only to maintain a high commitment to one or another minimally invasive area of surgery, but also to provide the subject of treatment with a “word” to assess the quality of care.
Aim. Assessment of the quality of life in patients with varicose veins of the lower limbs, who underwent superficial venous reflux abolition using endovenous interventions — thermal and glueablation.
Materials and methods. An assessment of the quality of life of 2,623 patients with varicose veins treated in the Multidisciplinary Medical Holding “SM-Clinic” (Moscow) between 2019 and 2022 was carried out. Their mean age was 57.4±15.6 years. Overall, 899 (34.3%) patients underwent cyanoacrylate adhesive closure (CAC) and 1724 (65.7%) patients underwent one of the thermal tumescent (TT) techniques. The latter included endovenous laser ablation (EVLA) — 1615 (61.5%)patients and radiofrequency ablation (RFA) — 109 (4.6%) patients. Sclerotherapy or miniphlebectomy as adjunctыto the main procedure were performed optionally. The quality of life was assessed using the Medical Outcomes Study-Short Form (SF-36) quality of life assessment methodology.
Results. When comparing the particular parameters of the Medical Outcomes Study-Short Form (SF-36) quality of life assessment scale, we built a conditional vector of perception by our patients of their own comfort afterinterventional treatment in the following direction — EVLA Conclusion. Assessment of the quality of life followingendovenousablation in CVD is an important indicator of patients’ health. The quality of life assessment reflects patient‘s satisfaction with the treatment illustratingthe patient-centred approach, taking into account the peculiarities of eachendovenous modality. The highest scores of quality of life in patients with CVD were noted after glue ablation.
Keywords: varicoseveins, qualityoflifeevaluation, cyanoacrylate adhesive closure, endovenous laser ablation, radiofrequency ablation, glue ablation.
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