[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.

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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