A comparitive study of open surgery and radiofrequency ablation for varicose veins

Kavithal, G (2014) A comparitive study of open surgery and radiofrequency ablation for varicose veins. Masters thesis, Kilpauk Medical College, Chennai.


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INTRODUCTION: The treatment of choice in the new era for superficial and perforator venous reflux is Radiofrequency ablation (RFA). Obliteration of superficial venous system in short term follow up is similar for both RFA & venous stripping. Clinical improvement as measured by CEAP and venous severity score are similar in both groups. But RFA is less morbid than surgery. Patients who are undergoing RFA, return to work earlier than patients who underwent surgery. AIMS AND OBJECTIVES: 1. To access the obliteration of the superficial venous systems following conventional surgery and RFA at the end of three months. 2. To compare the clinical outcome between the surgery and RFA at the end of three months. 3. To compare the cost and the clinical stay among the surgery and RFA. MATERIALS AND METHODS: Pre operative & Post operative details will be collected from the inpatients admitted for open surgeries and Radio frequency ablation in above mentioned hospitals and data will be compared. Focus will be on CEAP Classification, recurrence and residual disease, Number of days hospitalized, Pain scoring, Post operative bleeding, edema, infection. Type of Study: Comparative prospective study and interventional study. Sample size: 30 patients in each category. Inclusion Criteria: 1. Primary varicose veins with sapheno femoral incompetence. 2. CEAP grade 2 & 3 patients are selected. Exclusion criteria: 1. Tortuous veins, 2. Secondary varicose veins, 3. Patients with Pacemakers, 4. Pregnancy, 5. Age more than 70 years, 6. Age less than 19 years, 7. Unmarried. CONCLUSION: The favoured alternative choice in the treatment of superficial and perforator venous reflux disease in the newer era is the endovenous radio frequency ablation. The RFA not only out performs the traditional vein stripping and perforator interruption with regard to morbidity and outcome, it also reduces the formation of neovascularization that is frequently blamed reason for the higher recurrence rates seen with vein stripping.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Keywords: Sapheno femoral junction ; Long saphenous vein ; Radio frequency ablation ; Sapheno Popliteal vein ; Chronic venous insufficiency ; Ambulatory venous pressure.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Jul 2018 00:54
Last Modified: 06 Jul 2018 00:54
URI: http://repository-tnmgrmu.ac.in/id/eprint/8653

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