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Article Type

Original Study

Abstract

Background Chronic venous insufficiency is one of the most common conditions in the world. The WHO defines varicose veins (VV) of the lower limbs as dilated superficial veins presenting as baggy or cylindrical in shape and possessing damaged valves. In 70% of cases saphenous veins are affected. Objective This is a comparative, prospective study to compare thermal ablation versus maechanochemical ablation in the management of VV. Patients and methods This study was conducted on 40 patients who had primary great saphenous VV in the form of incompetence of saphenofemoral junction and/or great saphenous presented to the Vascular Department of Ain Shams University Hospitals, El-Sahel Teaching Hospitals (and other authorized hospitals under supervision of thesis supervisors). The study is a prospective, clinical trial (interventional comparative analytical study). Results This study compares between mechanochemical ablation (MOCA) versus radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) as the new managing modality for treatment of VV. This study shows no statistically difference in age and sex between the three groups. It shows statistically difference in obesity. There is statistical difference between three groups in great saphenous vein length preintervention. Most of the patients are C3 and C4. Conclusion MOCA is associated with less postoperative pain and faster recovery and work resumption compared with RFA and EVLA in the treatment of primary great saphenous VV. But recanalization was more in MOCA compared with RFA and EVLA.

Keywords

Mechanochemical ablation, primary great saphenous varicose veins, thermal ablation

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