Comparative study between radiofrequency ablation and endovenous laser ablation in the management of primary great saphenous varicose veins

E.M Reem, Department of Vascular Surgery, Faculty of Medicine, El-Sahel Teaching HospitalFollow
H.T Ahmed, Departments of General Surgery,Faculty of Medicine, Ain Shams University, Cairo, Egypt
A.A Mohammed, Departments of General Surgery ,Faculty of Medicine, Ain Shams University, Cairo, Egypt
H.A Mohamed, Department of Vascular Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Article Type

Original Study

Abstract

Background: Varicose veins are a common presentation of chronic venous disease. Multiple risk factors have been specified by epidemiological studies such as female sex, pregnancy, obesity, and prior deep venous thrombosis. Objective This is a prospective, comparative study to compare radiofrequency (RF) ablation versus endovenous laser ablation (EVLA) in the management of primary varicose veins of great saphenous vein (GSV). Patients and methods This study was conducted to 130 patients who had primary great saphenous varicose veins who attended to the vascular department of Ain Shams University Hospitals and El-Sahel Teaching Hospital. The study is a prospective comparative clinical trial. Results This study compares RF and EVLA in the management of primary GSV varicose veins. Age, sex, BMI, and comorbidities are of no clinical significance in this study. GSV diameter is a significant factor that is important in follow-up to detect the successfulness of the procedure and risk of recurrence. Three diameters of GSV were recorded preoperatively and compared at 1 week, 3 months, and 6 months postoperatively. CEAP classification and venous clinical severity score (VCSS) were used for clinical assessment of the patients. Most of the cases presented with CEAP classification C2, VCSS score 9. Clinical improvement can be detected by the change of CEAP to C1 or C0, and the VCSS from score 9 to 2 in both study groups. Conclusion Both RF and EVLA are not significantly different as regards efficacy and complications, with more recurrence and superficial thrombophlebitis in the RF group

Keywords

endovenous laser ablation, primary great saphenous varicose veins, radiofrequency

Recommended Citation

Reem, E.M; Ahmed, H.T; Mohammed, A.A; and Mohamed, H.A (2023) "Comparative study between radiofrequency ablation and endovenous laser ablation in the management of primary great saphenous varicose veins," Journal of Medicine in Scientific Research: Vol. 6: Iss. 4, Article 5.
DOI: https://doi.org/10.59299/2537-0928.1022