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- Title
Radiofrequency Ablation of the Great Saphenous Vein versus Conventional Surgery in Treatment of Venous Ulcers.
- Authors
Elazazy, H. H.; Rizk, M. A.; Elsehly, M. S. M.
- Abstract
Background: Chronic venous disease (CVD) is the most common venous disorder. It is caused by venous hypertension due to either reflux, outflow obstruction or both. Aim of the Work: To analyze the benefit of Radiofrequency ablation of the great saphenous vein versus conventional surgery in healing of venous ulcers. Patients and Methods: This randomized controlled clinical trial was conducted in the vascular surgery unit at the study was conducted at Ain Shams University Hospitals and Nasser institute hospital in Cairo under supervision of thesis supervisors with Follow up at 2, 4 and 6 months. The study included 40 patients (20 patient for EVLA & 20 patient for conventional Surgery) suffering from primary varicose veins with venous ulcer. Our range of age was 18-51 years. Results: The present trial confirmed that both surgery and RFA are highly efficacious. Both resulted in significant decrease in venous ulcer size and improvements in the objective severity of venous disease. Conclusion: RFA is less time consuming than stripping as regard operation time. As regard hospital stay RFA was done as one day surgery cases as they were done under local anesthesia, in stripping group almost patients discharged on the next day as they had been done under spinal anesthesia.
- Subjects
CAIRO (Egypt); SAPHENOUS vein; CATHETER ablation; NASSER, Gamal Abdel, 1918-1970; ULCERS; CLINICAL trials; STRIP mining
- Publication
QJM: An International Journal of Medicine, 2020, Vol 113, pi89
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcaa050.004