Title: Comparative Study of Open Surgery and Radiofrequency Ablation in the Treatment of Varicose Veins

Authors: Dr G. Kavithal, MS (General Surgery), Dr P. Rajeswari, MD, DCP

 DOI: https://dx.doi.org/10.18535/jmscr/v9i1.13

Abstract

Introduction: Varicose veins have been the commonest venous problem among us, and one of the many prices man must pay for gaining the erect posture. Though Surgery is the gold standard, the expansion of minimally invasive techniques has made the treatment of superficial venous reflux and varicose veins a rapidly evolving field. In this study we are comparing the efficacy and outcome of open surgery and Radio frequency ablation.

Materials and Methods: About 30 patients in each category of open surgery and RFA are followed in the department of general surgery and vascular surgery department in govt royapettahhospital, Kilpauk medical college for a period of two years. Focus will be on improvement in CEAP classification, post-operative pain scoring, number of days hospitalized and number of days to return to work.

Result: The most important difference noted among the two is in impact on hemodynamics, patient recovery and return to work, and in the treatment of recurrence. Though the outcome among the two procedures seems to be nearly equal, RFA is evolving to be the best for treating varicose veins.

Keywords: Radio frequency ablation (RFA), sapheno femoral junction (SFJ), closure catheters, Trendelenburg procedure.

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Corresponding Author

Dr G. Kavithal

Assistant Professor, Department of General Surgery, Government Erode Medical College, Erode