Comparison between Endovenous Laser and Endovenous Radiofrequency Thermal Ablation in Patients with Great Saphenous Vein Incompetence | ||
| The Egyptian Journal of Surgery | ||
| Article 12, Volume 44, Issue 3, July 2025, Pages 897-902 PDF (362.33 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2024.344719.1314 | ||
| Authors | ||
| Mahmoud Ezzat Khalil* 1; Mamdouh Ali Almezaien2; Hatem Hussein Mohamed2; Mohamed Mostafa El Yamany2; Mohammed Mostafa Kamel2 | ||
| 1Department of General and Vascular Surgery, Suez Canal Authority Hospital, Ministry of Health | ||
| 2Department of General and Vascular Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. | ||
| Abstract | ||
| Background: It is said that ultrasound-guided treatments, such as endovenous thermal ablation using two techniques— endovenous laser ablation (EVLA) and radiofrequency ablation (RFA)—have improved patient satisfaction and produced positive clinical outcomes. Comparing EVLA with RFA in patients with great saphenous vein (GSV) incompetence was the goal of this study. Patients and Methods: A total of 38 patients of both sexes, ages 18–70, with incompetent sapheno-femoral junctions and GSV greater than 1s were included in this comparative investigation. Every patient had RFA and EVLA. Results: The mean GSV diameter for laser ablation was 6.52±1.271 in group I, while the mean GSV diameter for RFA was 7.12±1.271 in group ΆΆ. Following surgery, the GSV diameter dramatically reduced, reaching a mean of 0.52±0.252 in group I after 6 months of follow-up, and a mean value of 0.82±0.252 in group II. We discovered a nonsignificant difference between the two treatments when we compared the GSV diameters of the two study groups after the surgery. Other for recurrence, which is higher in group II than in group I, there was no discernible difference in the main problems. Conclusion: The effectiveness of EVLT and RF ablation in treating lower leg varicose veins and demonstrate that there are no appreciable differences between the two techniques in terms of procedure duration, clinical improvement, and postoperative GSV occlusion. | ||
| Keywords | ||
| Endo-Venous; Laser; Radio Frequency; Saphenous Vein Incompetence; Thermal Ablation | ||
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