WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Laith Q. Majeed*, Dr. Laith Mahmood Mohammed and Dr. Samer Th. Ahmed

ABSTRACT

Lower extremity spider veins affect approximately 40% of women and 15% of men, with higher prevalence inwomen and underlying genetic and hormonal factors. Higher occurrence is found in our societies in whichoccupational health and obesity also play a role as underlying predisposing causes. Women are also moreconcerned about the aesthetic aspects of spider veins, which prompts them to seek treatment. Although spider veinshave no major medical risks, the demand for aesthetic treatment of these veins continues to grow all over theworld. The aim of the study was to determine the efficiency and safety of 1064 nm Nd YAG laser in the treatmentof spider leg veins. Ten patients with lower limbs spider veins were included in this prospective study. They weretreated with a long pulsed (Nd: YAG) laser in no contact technique using the following laser parameters (wavelength 1064nm, energy 30-73 J, pulse duration 10- 30 ms, frequency 2Hz, spot diameter 3- 7mm). Laser therapywas performed on day zero and day fourteen. Clinical assessments were carried out before laser therapy andimmediately after the first laser therapy, 2 weeks, 4 weeks, and 6 weeks later. Results showed that there was aremarkable improvement for 80% of patients after the third treatment. Only five patients showed a completedisappearance of the spider veins with no significant intraoperative and postoperative pain and complications,within short operative time. Conclusion: The long pulsed (Nd: YAG) laser (1064 nm) is an effective and safetreatment option for lower limbs spider veins.