A Comparative study on various modalities in varicose veins treatment at Rajiv Gandhi Govt. General Hospital

INTRODUCTION: Varicose veins affect 10-20 percent of the population. Surgery is still the best and reliable therapeutic option for treatment of varicose veins. Endovenous procedures are far less invasive than surgery and have lower complication rates. Therefore, it was intended to undertake a study to compare long saphenous vein stripping from groin to knee, high saphenofemoral junction ligation and radiofrequency ablation in the treatment of varicose veins with saphenofemoral incompetence. AIM OF THIS STUDY: To compare the effectiveness of each treatment and to compare the complications involved in various procedures. METHODS: Around 60 patients with varicose veins will be selected from the patients attending out-patient clinic in Rajiv Gandhi GGH. All patients will be explained about the disease, benefits & possible side effects of treatment. After that patients will be allocated into three groups: Group-A patients will be treated with high ligation of great saphenous vein, Group-B patients will be treated with ligation of great saphenous vein along with stripping from groin to knee and Group-C patients will be treated with Radiofrequency ablation of great saphenous vein. RESULTS: patients who had RFA had significantly less procedure time, post op pain, wound infection, limb oedema, duration of hospital stay and skin changes. Conclusion: RFA is a minimally invasive procedure. Its potential early benefits, by avoiding groin dissection and GSV stripping, which can be considered as a viable alternative to open surgeries