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Published on: March 15, 2020
[Effect of pharmacotherapy on course of postoperative period after endovenous thermal ablation]
Yu M Stoiko1, K V Mazaishvili1, T V Khlevtova1
1National Medical Surgical Centre named after N.I. Pirogov, Moscow, Russia.
Abstract:
The authors assessed the effect of a micronized purified flavonoid fraction (MPFF) on the course of the postoperative period after endovenous thermal ablation (EVTA). The patients of the Study Group matching by the main studied parameters to the Control Group patients were given the MPFF according to the suggested regimen for 7 days. The obtained results were analysed by means of questionnaires (CIVIQ, VCSS, VAS) and ultrasound angioscanning. The obtained findings were statistically processed by means of the program Statistica 6.0 and reliability of the results was assessed with the help of the Student t-test. Patients of the both groups showed complete stable obliteration of the target veins. No statistically significant differences of the items of the questionnaires CIVIQ and VCSS at the beginning of the study and at the last examination were revealed, differences were noted on days 2-14 after EVTA and were not statistically significant (p>0.05). Phlebotrophic therapy in the postoperative period after EVTA helps to decrease phlebitic alterations in the coagulated vein, to improve motor activity and mental psychoemotional state of the patients.
Insights
Micronized purified flavonoid fraction (MPFF) did not significantly alter outcomes after endovenous thermal ablation (EVTA). However, phlebotrophic therapy improved patient well-being and reduced inflammation post-EVTA.
Area of Science:
- Vascular Surgery
- Pharmacology
Background:
- Endovenous thermal ablation (EVTA) is a common treatment for varicose veins.
- The postoperative period following EVTA can involve discomfort and complications.
Purpose of the Study:
- To evaluate the effect of micronized purified flavonoid fraction (MPFF) on the postoperative course after EVTA.
- To assess patient-reported outcomes and vein status post-EVTA with MPFF supplementation.
Main Methods:
- A prospective study comparing a control group with a group receiving MPFF for 7 days post-EVTA.
- Outcomes were assessed using CIVIQ, VCSS, and VAS questionnaires, alongside ultrasound angioscanning.
- Statistical analysis was performed using Statistica 6.0 and Student's t-test.
Main Results:
- Both groups achieved complete and stable obliteration of target veins.
- No statistically significant differences were observed in CIVIQ and VCSS scores between groups at the final examination.
- Minor, non-statistically significant differences in questionnaire scores were noted between days 2-14 post-EVTA.
Conclusions:
- MPFF did not demonstrate a statistically significant benefit in the studied postoperative parameters after EVTA.
- Phlebotrophic therapy, including MPFF, may help reduce phlebitic alterations and improve patient quality of life post-EVTA.
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