A Comparative Study Between Trendelenburg Procedure Versus Radiofrequency Ablation for Varicose Vein Surgery in a Tertiary Care Teaching Hospital - A Single Institute Study
Rathnaganpathi1, S Kedara Harshitha2*, Harini Gali3, Kartikeyan Selvaraj4, R Hubert Cyril Lourdes5 and G Thulasikumar6
1Senior Resident, Department of General Surgery, SBMCH, Chennai, India
2Junior Resident, Department of General Surgery, SBMCH, Chennai, India
3Junior Resident, Department of General Surgery, SBMCH, Chennai, India
4Associate Professor, Department of General Surgery, SBMCH, Chennai, India
5Junior Resident, Department of General Surgery, SBMCH, Chennai, India
6Senior Consultant in Vascular Surgery, Sooriya Hospital, Chennai, India
*Corresponding Author: S Kedara Harshitha, Department of General Surgery, Sree Balaji Medical College & Hospital, Chennai, India.
Published: July 14, 2023
DOI: 10.55162/MCMS.05.145
Abstract
Background: Chronic Venous Insufficiency leading to varicose veins is one problem faced by adults. We compare two treatment modalities Classic Trendelenburg procedure vs. Radio Frequency Ablation in the treatment of varicose veins using physical, clinical and radiologic imaging.
Methods: In present study, it was reported that 200 patients in total were assessed in the study, out of which, 110 were non-randomized, and 110 underwent the intervention as a daily procedure. 55 patients underwent RFA and 55 patients had conventional surgery. Group R consisted of 35 males; 20 were females; Group C consisted of 25 males and 30 were females.
In CEAP classification,
In C2 class, there were 40 in group R, 39 in group C;
In C3 class, there were 8 in group R, 11 in group C;
In the C4-6 class, 7 were in group R and 5 were in group C.
The key outcomes for great saphenous varicose veins after RFA and traditional surgery are compared. Theatrical time was in Group R for 45 minutes, group C for 72 minutes, group R for 35 minutes, group C for 60 minutes, group R for pain first week for group R for 3.5 minutes for group C for analgesic time for Group R for 1 day, group C 10 days in Group C for two days and group R patients for two days and C for 15 days. After 1 week of follow-up on numbness/reduced sensation, 8 patients and 16 patients showed engorgement/reduced feeling after 1 week in Group R and Group C.
Conclusion: The study concluded that RFA took a shorter time to perform than conventional surgery. It also gave better results and significantly reduced recovery time and morbidity in patients with minimal complications in the varicose veins.