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 and 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. To access the obliteration of the superficial venous systems following conventional surgery and RFA at the end of three months. To compare the clinical outcome between the surgery and RFA at the end of three months. To compare the cost and the clinical stay among the surgery and RFA. The most important differences seen between the two groups was on patients recovery. The mean time required for the patient to return to normal activities was1.5 days for the RFA patient, compared to about 5 days that is required for venous stripping. The examination with Duplex ultra sound revealed 91.7% free of reflux in the RFA and 89.7% free of reflux in the vein stripping surgery. 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.
Soundarrajan and Prahaladh Ramaswamy. A Comparitive Study of Open Surgery and Radiofrequency Ablation for Varicose Veins.
DOI: https://doi.org/10.36478/makrjms.2025.3.154.156
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.3.154.156