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Treatment of varicose veins of lower limb: A prospective randomized comparison of radiofrequency ablation and conventional surgery

  • Prospective Comparative Study
  • Published:
Hellenic Journal of Surgery

Abstract

Objectives

To compare the effectiveness of conventional surgery and radiofrequency ablation in the treatment of varicose veins as regards 1) duration of procedure, 2) postoperative pain, 3) complications, 4) duration of stay in hospital and 5) return to normal routine work.

Methods

A prospective comparative study in which 60 patients were randomly assigned to two treatment groups for treatment of varicose veins: conventional surgery and radiofrequency ablation. Each treatment group comprised 30 patients. A p-value less than 0.05 was considered significant.

Results

The p-value was found to be significant for duration of surgery (0.00), duration of stay in hospital (0.00), average pain score (0.00), average intake of oral analgesics (0.00), ambulation period (0.00) and resumption of normal activities (0.00) in the RFA group. Complications did not vary significantly between groups.

Conclusion

Compared to Stripping and Ligation, RFA provides a number of benefits including less pain and lower cost.

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Abbreviations

CVI:

Chronic Venous Insufficiency

DVT:

Deep Vein Thrombosis

EVLT:

Endo Venous Laser Therapy

GSV:

Great Saphenous Vein

POD:

Post Operative Day

RFA:

Radio Frequency Ablation

SFJ:

Saphenofemoral Junction

SL:

Stripping Ligation

SPJ:

Saphenopopliteal Junction

TIPP:

Transilluminated Power Phlebectomy

VAS:

Visual Analogue Scale

References

  1. “Varicose Veins”. 2010-07-06. http://www.webcitation.org/5r1PRrJul. Mount Sinai Hospital, New York

  2. Merck Manual Home Edition, 2nd edition 2004; 48:839–46

  3. Medscape [Internet]. [Updated: Sep 2, 2009; cited 2010 Aug 2]; Available from: http://emedicine.medscape.com/article/1085800-overview

  4. Teruya TH, Ballard JL. New approaches for the treatment of varicose veins. Surg Clin N Am 2004; 84:1397–417

    Article  PubMed  Google Scholar 

  5. Lurie F, Creton D, Eklof B, Kabnick LS, Kistner RL, Pichot O, et al. Prospective randomised study of endovenous radiofrequency obliteration (Closure) versus ligation and vein stripping (EVOLVeS): two year follow-up. Eur J Vasc Endovasc Surg 2005; 29:67–73

    Article  CAS  PubMed  Google Scholar 

  6. Elkaffas KH, Elkashef O, Elbaz W. Great saphenous vein radiofrequency ablation versus standard stripping of primary varicose veins: a randomized clinical trial. Angiology 2011; 62:49–54

    Article  Google Scholar 

  7. Perala J, Rautio T, Biancari F, Ohtonen P, Wiik H, Heikkinen T, et al. Radiofrequency endovenous obliteration versus stripping of the long saphenous vein in the management of primary varicose veins: 3 year outcome of a randomized study. Ann Vasc Surg 2005; 19:669–672

    Article  PubMed  Google Scholar 

  8. Hinchliffe RJ, Ubhi J, Beech A, Elison J, Braithwaite B. A prospective randomised controlled trial of VNUS closure versus surgery for the treatment of recurrent log saphenous varicose veins. Eur J Vasc Endovasc Surg 2006; 31:212–8

    Article  CAS  PubMed  Google Scholar 

  9. Shepherd AC, Gohel MS, Brown LC, Metcalfe MJ, Hamish M, Davies AH. Randomized clinical trial of VNUS ®ClosureFAST ™ radiofrequency ablation versus laser for varicose veins. BJS.7091 2010; pp. 810–8

    Google Scholar 

  10. Subramonia S, Lees T. Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins. BJS 2009; pp. 328–36

    Google Scholar 

  11. Lurie F, Kistner RL, Kbnick LS, Pichot O, et al. RFA vs Stripping and ligation (EVOLVES) study. J Vasc Surg 2003; 38:207–14

    Article  CAS  PubMed  Google Scholar 

  12. Merchant RF, Kabnick LS. Endovascular obliteration of saphenous reflux: a multicentre study. J Vasc Surg 2002; 35:1190–6

    Article  PubMed  Google Scholar 

  13. Chandler JG, Pichot O, Sessa C, Bergan JJ. Treatment of varicose veins by endovenous saphenous vein obliteration. Vasc Surg 2000; 34:201–14

    Article  Google Scholar 

  14. Weiss RA, Weiss MA. Controlled RF endovenous occlusion under duplex guidance to eliminate saphenous varicose vein reflux. Dermatol Surg 2002; 28:38–42

    PubMed  Google Scholar 

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Correspondence to Poras Chaudhary.

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Singh, S.K., Chaudhary, P., Khandelwal, S. et al. Treatment of varicose veins of lower limb: A prospective randomized comparison of radiofrequency ablation and conventional surgery. Hellenic J Surg 86, 347–354 (2014). https://doi.org/10.1007/s13126-014-0158-1

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  • DOI: https://doi.org/10.1007/s13126-014-0158-1

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