Asgarov I. M., Gasımov N. M., Fattah-Pur V. A., Babayev R. M.
INFLUENCE OF DIFFERENT ENERGY DENSITIES OF ENDOVENOUS LASER ABLATION ON THE RESULTS OF VARICOSE VEINS TREATMENT IN PATIENTS WITH DIABETES MELLITUS
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About the author:
Asgarov I. M., Gasımov N. M., Fattah-Pur V. A., Babayev R. M.
Heading:
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Scientific article
Annotation:
The research material consisted of the results of examination and treatment of 140 patients diagnosed with varicose veins of the lower extremities at the Istanbul NS Clinic and the Yeni Ganja Medical Center during 2017-2020. Among the patients there were 98 men, 42 women, average age 57.1±0.62 years. The duration of diabetes mellitus was 13.8±0.33 years. At the same time, 98 (70%) patients had a history of diabetes mellitus of 10-14 years, 27 (19.29%) patients – 15-19 years, 13 (9.29%) patients – 20-24 years, and 2 (1.43%) patients had more than 25 years. The concentration of sugar in the blood was 183.9±4.9 mg/dl, and the amount of glycohemoglobin was 9.0± 0.09%, varying from 7.5% to 11.9%. EVLA was performed for all patients after appropriate preoperative preparation. Depending on the energy density, the patients were divided into control and main groups. In 60 patients included in the control group, the speed limit of the extractor device was set at 1 mm/s, and the power was set at 8-10 Watts to supply 80-100 J/cm of energy to the vein. 80 patients of the main group were divided into 2 subgroups of 40 people each. Varicose veins of the lower extremities are considered the most obvious clinical sign of chronic venous insufficiency. Varicose veins significantly decreased (p<0.0001) in the control group a week after EVLA. Varicose veins were not detected in 57.1% of patients on the right and 25 on the left. In 24 people on the left, the number and volume of varicose veins significantly decreased (p<0.0001) and decreased to the level to be assessed at 1 point. 140 patients with diabetes mellitus underwent EVLA. In the control group (n=60), energy was applied in 80-100 J/ cm; in the main A subgroup (n=40) 100-120 J/cm and in the main subgroup (n=40) 120-140 J/cm. The results on the VCSS scale were compared a week, 1 month, 6 months and 1 year after EVLA. The analysis proved that EVLA with an energy output of 120-140 J/cm is more effective in patients with diabetes mellitus. The positive effect was confirmed by the VCSS quality of life indicators and a significant reduction in the number of relapses after surgery. In our study, this effect was confirmed by the best VCSS quality of life indicators and a significant reduction in the number of relapses after surgery in patients with diabetic varicose veins.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2023 Issue 4, 171, 130-134 pages, index UDC 617.58-007.64-616.1-089:615.849.19;616.379
