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

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

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

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M M Bahaaeldin ◽  
M A H Rady ◽  
A M E Dessouki ◽  
H I Abdelhamid
Keyword(s):  
Radiofrequency Ablation ◽  
Laser Ablation ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Current Evidence ◽  
Controlled Study ◽  
University Hospitals ◽  
Conventional Surgery ◽  
Endovenous Laser Ablation ◽  
Endovenous Ablation

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.

scholarly journals The Management of Varicose Veins

2015 ◽  
Vol 100 (1) ◽  
pp. 185-189 ◽  
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.

Endothermal ablation for the treatment of clinically significant incompetent lower limb perforating veins: factors influencing the early outcomes

2020 ◽  
pp. 026835552095508
Author(s):  
Kenneth R Woodburn
Keyword(s):  
Radiofrequency Ablation ◽  
Laser Ablation ◽  
Lower Limb ◽  
Closure Rate ◽  
Short Treatment ◽  
Endovenous Laser Ablation ◽  
Perforating Veins ◽  
Factors Influencing ◽  
Early Closure ◽  
Clinically Significant

Background To review the clinical experience and early outcomes of endothermal perforator ablation. Method Retrospective review of an endovenous practice from 2007-2019. Clinically significant incompetent perforators were treated by Endovenous Laser Ablation (EVLA), or segmental radiofrequency ablation (RFA). Result Complete data were available for 110 of the 116 symptomatic incompetent perforating veins treated. Radiofrequency ablation of 20 perforators produced a 55% perforator closure rate, while 90 EVLA perforator ablations resulted in a closure rate of 80%. Closure rates with EVLA varied by location and perforator length. Closure rates for truncal ablation were 95.5% for RFA and 97.2% for EVLA. Conclusion Early closure rates following endothermal ablation of incompetent lower limb perforating veins are lower than those obtained for truncal ablation. EVLA perforator closure appears to be more effective than segmental RFA in most situations but short treatment lengths and location at the ankle are associated with the poorest outcomes.

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