Arm: Group C control group. Non-acupuncture group. Gruop C will be Control group.

Arm: Group A, group of acupuncture Akupunktur will be done with Pres Needle (0.22x1.5 mm) Blood will be taken for the measurement of IL 17 and IL 23 from Group A (Acupuncture) patients 24 hours prior to endovenous ablation procedure. Then, with press needle (0.22x1.5) LU 9 (Taiyuan), LU7 (Lieque), SP 6 (Sanyinjiao) , ST 36 (Zusanli), LI 4 (Hegu) and LIV 3 (Taichong) points will be applied acupuncture.On the 3rd day, patients will be called for control. Blood will also be taken from the blood to measure IL 17, IL 23 values.

Pain

Interleukin

Vessels; Varicose

Group A; Acupunctur will be done with Pres Needle (0.22x1.5 mm).Acupuncture will be done points fo SP 6, LI 4 , ST 36 , LİV 3, LU 9 ,LU 7.

Group A ( Group Acupuncture)

Kahramanmaras Sutcu Imam University Faculty of Medicine

The Effect of Acupuncture on the Treatment of Endovenous Ablation on Pain, IL17 and IL 23

The Effect of Acupuncture on Pain, IL 17 and IL 23 in Endovenous Ablation; Prospective, Randomized, Controlled Study.

Change From Baseline on the circulating levels of IL 17 and IL 23 ng/ L

Change from Baseline VAS Score. from 1 to 10 , 0: No pain, 10: 10 pain that can not be tolerated

Change from Baseline VAS Score (Visual analog scale) Score. from 1 to 10 , 0: No pain, 10: 10 pain that can not be tolerated

Change from Baseline measurement (mm)with ultrasonografi

Yavuz Orak

Assistant Professor

Kahramanmaras Sutcu Imam University

Patients randomized to the experimental group will benefit from the usual standard care following surgery and during the second day the opportunity to use virtual reality for 15 minute. Along VR, they will complete the psychological and physiological measures.

Patients randomized to the control group will benefit from the usual standard care following surgery and during the second day will complete the psychological and physiological measures.

Pain, Postoperative

During the VR experience patients will have the opportunity to choose from different VR environments (VR application - Nature Treks VR) and explore them using Oculus Rift Device.

Virtual Reality intervention - Oculus Rift HD

Municipal Hospital of Cluj-Napoca

Virtual Reality for Post Operative Pain

Efficacy of Virtual Reality for Post Operative Pain: A Randomized Controlled Trial

Graphic Rating Scale measure pain intensity from 1 to 10, 1 - no pain; 10 - worst pain.

Presence Inventory assesses the degree of spatial presence, involvement, ecological validity, overall presence, and negative effects experienced during the VR intervention

Graphic Rating Scale measure relaxation from 1 to 10, 1 - stressed; 10 - very relaxed.

Graphic Rating Scale measure the time spent thinking about pain from 1 to 10; 1 - not at all, 10 - all the time

All collected data will be shared in an anonymized manner.

Raluca Georgescu

Phd student

Babes-Bolyai University

We tested the efficacy of a VR environment in the treatment of pain after surgery.

As we had two groups in which one used a device for ensuring the masking the entire procedure was conducted in a separate room.

Patients will receive propofol anesthesia during varicose vein stripping surgery.

Patients will receive sevoflurane anesthesia during varicose vein stripping surgery.

varicose veins/iiveldus

The Effect of Acupuncture on the Treatment of Endovenous Ablation on Pain, IL17 and IL 23

Virtual Reality for Post Operative Pain

Propofol Versus Volatile Anesthesia in Post Operative Pain Management

Fluid Infusion During Breast Surgery

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