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. 2024 Jun 29;13(13):3839.
doi: 10.3390/jcm13133839.

Pain after 1940 nm Laser for Unilateral Incompetence of the Great Saphenous Vein

Affiliations

Pain after 1940 nm Laser for Unilateral Incompetence of the Great Saphenous Vein

Torsten Willenberg et al. J Clin Med. .

Abstract

Background: To investigate postprocedural pain after using an endovenous 1940 nm laser for great saphenous vein incompetence. Methods: A total of 72 patients were treated for symptomatic unilateral great saphenous incompetence using a 1940 nm laser device. All patients were treated using a standardized procedure under local anesthesia and investigated for postprocedural pain for 4 weeks using a visual analog scale (VAS 0-10). Results: Moderate pain was reported. A total of 17 patients reported minor scale 1 after the first day. On average, pain regressed to minor 1 after day 6. No significant complications were observed. Conclusions: Our results support the atraumatic character of this higher wavelength laser. In terms of patient comfort, higher wave lengths such as 1940 nm should be preferred for endovenous laser ablation. Using a combination of wavelengths could be the future solution to providing both safe ablation and minimum postprocedural pain.

Keywords: laser; pain; varicose veins.

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Conflict of interest statement

Michael Schubert and Sarvesh Ghorpade co-authored this manuscript. They work for iMS GmbH, Tutzing, Germany, provider of the 1940 nm laser fibre.

Figures

Figure 1
Figure 1
Pain scale average of 72 patients after 1940 nm laser treatment for 28 days.
Figure 2
Figure 2
Pain scale average divided into 2 groups: n = 36 with linear endovenous energy density < 45 Joule/cm, yellow, n = 36 with linear endovenous energy density > 45 Joule/cm, blue.

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