305310

Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up

Article

Last updated: 11 May 2025

Subjects

-

Tags

Clinical Research (Surgical)

Abstract

Background: Since 1990s, the techniques of endovenous ablation, as a treatment for varicose veins, have emerged such as radiofrequency ablation (RFA) and laser treatment. RFA was superior to Laser ablation as measured by a comprehensive array of post procedural recovery and quality of life parameters. Aim: This study aimed to assess the efficacy of RFA in the treatment of varicose veins and the postoperative outcomes for improving the quality of life of patients. Materials and Methods: This is a prospective, interventional, quasi experimental study that includes 20 participants presenting with lower limb varicose veins in the outpatient clinic of the Suez Canal University Hospital. Results: Twenty patients were eligible for RFA of varicosed great saphenous vein (GSV) in our study. The overall pre operative venous clinical severity score (VCSS) mean was 4.4 ± 0.68. On 6 months follow up, patency of the ablated vein was assessed by using duplex ultrasound, 16 patients (80%) had completely occluded GSV, only 4 patients (20%) had intermittent patent segments with average length of <5 cm showing no residual refluxing. No patients had patent segments of >5 cm in length. The overall post operative VCSS mean was 2.1 ± 0.3. There were 4 participants (20%) having post operative ecchymosis, one patient (5%) had skin burn, 4 patients (20%) had induration. Only 2 patients (10%) experienced post ablation hyperpigmentation. Conclusion: RFA is an effective feasible modality in the management of GSV incompetence and reflux. The clinical parameters showed significant improvement after RFA including VCSS. Post operative complications after RFA are mild and self limiting.
 

DOI

10.21608/scumj.2023.305310

Keywords

varicose veins, Thermal ablation

Authors

First Name

Mohammed

Last Name

Kamel

MiddleName

M.

Affiliation

Department of Surgery, Vascular surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mmk_surgeon@hotmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

El-Yamany

MiddleName

M.

Affiliation

Department of Surgery, Vascular surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

yamany1110@yahoo.com

City

-

Orcid

-

First Name

Aya

Last Name

Toubar

MiddleName

A.

Affiliation

Department of Surgery, Vascular surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

aya.toubar.213@gmail.com

City

-

Orcid

-

First Name

Sherif

Last Name

Reffat

MiddleName

A.

Affiliation

Department of Surgery, Vascular surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

shrefat@hotmail.com

City

-

Orcid

-

Volume

26

Article Issue

4

Related Issue

42075

Issue Date

2023-04-01

Receive Date

2023-02-12

Publish Date

2023-04-15

Page Start

24

Page End

33

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_305310.html

Detail API

http://journals.ekb.eg?_action=service&article_code=305310

Order

4

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up

Details

Type

Article

Created At

24 Dec 2024