Treatment of varicose veins of lower limb: A prospective randomized comparison of radiofrequency ablation and convention
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P R O S P E C T I V E CO M PA R AT I V E S T U DY
Treatment of Varicose Veins of Lower Limb: A Prospective Randomized Comparison of Radiofrequency Ablation and Conventional Surgery Sunil Kumar Singh, Poras Chaudhary, Sachin Khandelwal, Devadatta Poddar, Upendra C. Biswal
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. Key words: Varicose veins; treatment; comparison; stripping and ligation; radiofrequency ablation
Introduction The description of varicose veins as a clinical entity can be traced back as early as the fifth century. Forefathers of medicine, including Hippocrates and Galen, described the disease and its treatment modalities, which are still in use today. Varicose veins are veins that have become enlarged and tortuous. The term commonly refers to the veins on the leg, [1] although they can also occur elsewhere. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing. Besides cosmetic problems, they often itch and Sunil Kumar Singh, MS Senior Resident Poras Chaudhary, MS, Associate Professor Sachin Khandelwal, MS Senior Resident Devadatta Poddar, MS Senior Specialist Upendra C Biswal, MS Professor and HOD Corresponding author: Poras Chaudhary Dr Ram Manohar Lohia Hospital and PGIMER, New Delhi, India Tel.: 9891447358, e-mail: [email protected] Received 2 July 2014 2014; Accepted 15 Sept 2014 2014 Hellenic Journal of Surgery 86
are painful, especially when standing or walking. Though varicose veins rarely present with an acute emergency or life-threatening complication, symptoms like dragging sensation, heaviness, pain, bleeding, ulceration or lipodermatosclerosis require active intervention to achieve relief from the disease. Non-surgical treatments include elastic compression stockings, leg elevation, and exercise. Traditional surgical treatment involves vein stripping to remove the affected veins. Given that most of the blood in the legs is returned by the deep veins, the superficial veins, which return only about 10 per cent of the total blood of the legs, can usually be
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