Total endovasal laser ablation technology - method for correcting recurrent varicose disease of the lower extremities

Introduction. The problem of recurrence of varicose veins of the lower extremities remains relevant. The purpose of the study. The aim of our study was to optimize the results of varicose veins recurrence treatment by introducing the total endovasal laser ablalation (total-EVLA) technique. Material and methods. The work analyzes the results of diagnostics and treatment of 17 patients with true recurrences of varicose veins. All individuals were re-operated at the Clinical Hospital № 4 of Sechenov University at 2021–2024 period using the "total-EVLA" technique. Results. Technical and clinical success of repeated surgical correction of varicose veins recurrence was achieved in all cases. Conclusion. Use of EVLA among patients with recurrent varicose veins avoids traumatic manipulations in the area of cicatrical-changed tissues in order to significantly reduce the risk of damage to important anatomical structures, reduce the duration of the surgery, improve patients’ quality of life of, while increasing the final aesthetic result of the treatment. The "total-EVLA" technology can be recommended for radical correction of recurrent varicose veins – regardless of the localization and volume of the subcutaneous venous system damage.