Delim, D., Elsonbati, M., Tohamy, A. (2023). Microcautery Evaluation for the Treatment of Leg Spider Veins. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(4), 291-300. doi: 10.21608/ejprs.2023.319968
Doaa Mohie Delim; Mostafa Abdelhafiz Elsonbati; Ahmed Mohamed Tohamy. "Microcautery Evaluation for the Treatment of Leg Spider Veins". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 4, 2023, 291-300. doi: 10.21608/ejprs.2023.319968
Delim, D., Elsonbati, M., Tohamy, A. (2023). 'Microcautery Evaluation for the Treatment of Leg Spider Veins', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(4), pp. 291-300. doi: 10.21608/ejprs.2023.319968
Delim, D., Elsonbati, M., Tohamy, A. Microcautery Evaluation for the Treatment of Leg Spider Veins. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(4): 291-300. doi: 10.21608/ejprs.2023.319968
Microcautery Evaluation for the Treatment of Leg Spider Veins
The Department of Plastic Surgery, Faculty of Medicine, Assiut University
Abstract
Background: Spider leg veins represent a significant cosmetic problem; their prevalence on the lower limbs has been reported as two-thirds of patients age 25 years, between 30 and 50 years old. Bad cosmetic appearance is the leading complaint, and reason for requesting consultations. Sclerotherapy and laser therapy are the two main lines of treatment now, with the advantages and disadvantages of each line. Objectives: This study aims to evaluate the effect of lowcurrent voltage micrometry using the Ellman Radio Frequency as an alternative to sclerotherapy and laser in treating spider leg veins. Patients and Methods: The design was an intervention study carried out on 20 patients who had leg spider veins selected based on inclusion and exclusion criteria for treatment using the Ellman Radio Frequency devise in the outpatient clinic of the Plastic Surgery Department of Assiut University Hospitals from September 1st, 2020, to March 31st, 2022. An online survey was carried out to identify the epidemiological community aspects of the disease. Results: Participants characteristics found the mean age was 36.1 ± SD 9.7 years, and mean BMI 25.4 ± SD 4.2kg/m2. The online survey findings showed that the disease was prevalent among 78.1% of the females, where only 27.2% of the participants requested treatment. After one session of Microcautery, the clinical results demonstrated complete disappearance of the spider leg veins in 25%, very good in 45%, and good in 30% of the patients. Conclusion and Recommendation: Low voltage microcautery has a high comparable success rate in managing cases with specific selection criteria, in addition to the technique's safety, simplicity, and inexpensive COST. The study recommends planning for future research to compare sclerotherapy as the gold standard and the low-voltage micro cauterization technique.
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