Endovenous Laser Ablation and Radiofrequency Ablation versus Conventional Surgery in Treatment of Primary Varicose Vein of the Lower Limb)Prospective Randomized Controlled Study)

Abstract Background Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) of primary varicose vein are thought to minimize postoperative morbidity and reduce work loss compared with the conventional surgical procedure. Aim of the Work to determine, whether endovenous ablation (radiofrequency and laser) have any advantages or disadvantages in comparison with conventional surgery, in the treatment of primary varicose vein. Patients and Methods this is a prospective randomized study. Thirty Patients presented at Vascular Outpatient Clinic for management of chronic venous insufficiency. All patients underwent clinical examination and duplex ultrasonography. Ten (10) patients were treated with ligation and stripping of the GSV or SSV. Ten (10) patients were treated with Radiofrequency ablation. Ten (10) patients were treated with endovenous laser ablation. The study was conducted at Ain Shams University Hospitals and Helwan University Hospitals. The study took place from September 2017 to June 2018. Results Compared with conventional surgery, endovenous ablation methods reduce postoperative discomfort and pain, with a lower complication rate after treatment for avoidance of a groin incision and dissection at the saphenofemoral confluence. Cosmetic demands are also better satisfied. However, risks of EVLA and RFA remain in terms of recanalization and neoreflux via junctional tributaries. Conclusion RFA and EVLA are minimally invasive procedures. Their potential early benefits, by avoiding groin dissection and GSV stripping, have been confirmed by the findings from this trial. Current evidence based on randomized trials consistently demonstrates significant early benefits after RFA and EVLA in suitable patients with varicose veins.

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Endovenous Laser Ablation, Radiofrequency Ablation and Flebogrif versus Conventional Surgery in Treatment of Primary Varicose Vein of the Lower Limb: Prospective Randomized Controlled Study

The Egyptian Journal of Hospital Medicine ◽

10.21608/ejhm.2021.201978 ◽

2021 ◽

Vol 85 (2) ◽

pp. 3628-3634

Author(s):

Ahmed M. El Mahdi ◽

Sherif Omar El Kerdawi ◽

Ali Mahmoud Mohamed Galal

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Varicose Vein ◽

Lower Limb ◽

Randomized Controlled Study ◽

Controlled Study ◽

Conventional Surgery ◽

Endovenous Laser Ablation ◽

Randomized Controlled

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The Management of Varicose Veins

International Surgery ◽

10.9738/intsurg-d-14-00084.1 ◽

2015 ◽

Vol 100 (1) ◽

pp. 185-189 ◽

Cited By ~ 12

Author(s):

Fan Lin ◽

Shiyi Zhang ◽

Yan Sun ◽

Shiyan Ren ◽

Peng Liu

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Varicose Veins ◽

Controlled Study ◽

High Ligation ◽

Foam Sclerotherapy ◽

Current Management ◽

Endovenous Laser Ablation ◽

Randomized Controlled ◽

Better Than

Abstract This study aimed to review the current management modalities for varicose veins. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on the management of varicose veins were reviewed and the postoperative complications and efficacy were compared. Foam sclerotherapy and radiofrequency ablation were associated with less pain and faster recovery than endovenous laser ablation and surgical stripping. Patients undergoing endovenous laser ablation and radiofrequency ablation are most likely to have a faster recovery time and earlier return to work in comparison with those undergoing conventional high ligation and stripping. A randomized controlled study in multiple centers is warranted to verify which approach is better than others for the treatment of varicose veins.

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Evaluation of healing of varicose ulcers after endovenous laser ablation of great saphenous vein

International Surgery Journal ◽

10.18203/2349-2902.isj20202376 ◽

2020 ◽

Vol 7 (6) ◽

pp. 1707

Author(s):

Hatem Hussein Mohamed ◽

Beshoy Magdy Alshahat ◽

Mamdouh Mohamed Almezaien

Keyword(s):

Laser Ablation ◽

Saphenous Vein ◽

Varicose Vein ◽

Great Saphenous Vein ◽

Varicose Veins ◽

P Value ◽

University Hospitals ◽

Endovenous Laser Ablation ◽

A Prospective Study

Background: Varicose veins are permanently swollen, tortuous and elongated while standing due to back flow of blood caused by incompetent valve closure which result in venous congestion .they are of two types primary and secondary varicosities .The main symptoms are tingling, itching, pain, fatigue, a heavy feeling in the legs especially if one has to stand for a long time. Ulcers and thrombophlebitis are possible complications. The aim of this study is to assess the outcome of laser ablation of great saphenous vein on healing of varicose ulcers.Methods: A prospective study conducted at Suez Canal University Hospitals and Nasser Institute Hospital in Cairo on 20 patients complaining varicose ulcers due to incompetent saphenous femoral junction.Results: All patients had improvement in Abrdeen Varicose vein questionnaire after endovenous laser ablation (EVLA) during the first, second and third follow up visits when compared with preoperative scores. The Aberdeen Varicose vein questionnaire ranged from 8 to 18 before the procedure, with a mean of 12.11, ranged from 3 to 11 at the first follow up visit with a mean of 7.07, ranged from 2 to 10 at the second follow up visit with a mean of 4.89 and ranged from 2 to 10 at the third follow up visit with a mean of 3.85, p value is less than 0.001 compared to the pre-operative data. During the assessment of the patients of our study after 6 months of continuous follow up, we found that the healing rate of the patients who underwent laser ablation of great saphenous vein were (91.67) (p=0.769).Conclusions: EVLA of great saphenous vein leads to better wound healing rates in treating patients with varicose ulcers.

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