Kamel, M., El-Yamany, M., Toubar, A., Reffat, S. (2023). Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up. Suez Canal University Medical Journal, 26(4), 24-33. doi: 10.21608/scumj.2023.305310
Mohammed M. Kamel; Mohammed M. El-Yamany; Aya A. Toubar; Sherif A. Reffat. "Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up". Suez Canal University Medical Journal, 26, 4, 2023, 24-33. doi: 10.21608/scumj.2023.305310
Kamel, M., El-Yamany, M., Toubar, A., Reffat, S. (2023). 'Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up', Suez Canal University Medical Journal, 26(4), pp. 24-33. doi: 10.21608/scumj.2023.305310
Kamel, M., El-Yamany, M., Toubar, A., Reffat, S. Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up. Suez Canal University Medical Journal, 2023; 26(4): 24-33. doi: 10.21608/scumj.2023.305310
Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up
Department of Surgery, Vascular surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
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.
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