Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients
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- Arun Oguzhan
- Department of Anesthesiology and Reanimation, Selcuk University Faculty of Medicine, Konya, Turkey
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- Oc Bahar
- Department of Anesthesiology and Reanimation, Selcuk University Faculty of Medicine, Konya, Turkey
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- Duman Ates
- Department of Anesthesiology and Reanimation, Selcuk University Faculty of Medicine, Konya, Turkey
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- Yildirim Serkan
- Department of Cardiovascular Surgery, Selcuk University Faculty of Medicine, Konya, Turkey
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- Simsek Murat
- Department of Cardiovascular Surgery, Selcuk University Faculty of Medicine, Konya, Turkey
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- Farsak Bora
- Department of Cardiovascular Surgery, Selcuk University Faculty of Medicine, Konya, Turkey
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- Oc Mehmet
- Department of Cardiovascular Surgery, Selcuk University Faculty of Medicine, Konya, Turkey
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Purpose: Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.Methods: The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.Results: Mean duration of operation and anesthesia was 28 (12–55) and 40 (20–65) minutes, respectively. Mobilization and discharge timing was 25 (11–45) and 139 (110–200) minutes, respectively. All patients were discharged the same day of surgery.Conclusion: The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients’ pain and discomfort during the EVLT procedure within the scope of day case surgery.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 20 (1), 55-60, 2014
Annals of Thoracic and Cardiovascular Surgery 編集委員会