Table 8: Recovery After Endovascular Laser Ablation or Surgical Stripping for VV.
| Author | Anesthesia for ELT | Anesthesia for Surgery | Recovery for ELT | Recovery for Surgery | Recovery Difference |
|---|---|---|---|---|---|
| Darwood (89) | Local tumescent anesthesia | Day case general anesthesia | 85.3% (29/34) for ELT 1 and 83.3% (20/24) for ELT 2 returned to normal activity within a week and the median time to normal activity 2days for ELT1 and 2 days for ELT2 | 56% (14/25) to normal activity within a week and median time to normal activity 7 days | ELT < Surgery p = .001 |
| DeMedeiros (90) | Subarachnoid or epidural anesthesia | Subarachnoid or epidural anesthesia | NA (within-person RCT) |
||
| Disselhoff (92) | 38 general anesthesia and 22 local tumescent anesthesia | patient choice of anesthesia (49 general anesthesia and 11 local tumescent anesthesia) | 75% return to normal activity by 10 days | 45% return to normal activity by 10 days | ELT < Surgery p = .001 |
| Kalteis (93) | General anesthesia 48%, regional 51% [ n= 47] | General anesthesia 34%, regional anesthesia 66% [n=48] | Median return to work time 20 days (range: 14.0 - 25.5) | Median return to work time 14.0 days (range: 12.8 - 25) | ELT ~ Surgery p = .054 |
| Rasmussen (94) | Office based local tumescent anesthesia and conscious sedation (midazolam) | Office based local tumescent anesthesia and conscious sedation (midazolam) | Return to normal activity time mean days 7.7 ± 6.1 (range: 0 - 29) | Return to normal activity mean time days 6.9 ± 7.0 (range: 0 - 29) | ELT ~ Surgery p > .05 |
| Return to work time mean of 7.6 ± 4.9 days (range: 1- 28) | Return to work mean time 7.0 ± 6.0 days (range: 1 - 31) | ||||
| Theivacumar (95) | Local tumescent anesthesia | General anesthesia | NR | NR |
ELT refers to endovascular laser therapy; NA, not applicable; NR, not reported