A comparative study between Trendelenburg procedure vs radiofrequency ablation for varicose vein surgery in a tertiary care hospital Chennai- A cross-sectional study

https://doi.org/10.53730/ijhs.v6nS7.11653

Authors

  • Rathnaganpathi T Assistant Professor, Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, India
  • Karthikeyan Selvaraj Assistant Professor,Sree Balaji Medical College and Hospital,Chrompet, Chennai-600044, India and Junior Resident, Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, India
  • Rajiv Kannan Senior Consultant in Vascular Surgery, Sooriya Hospital, Chennai, India
  • Thulasikumar G Senior Consultant in Vascular Surgery, Sooriya Hospital, Chennai, India
  • Sasikumar P Professor, Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, India

Keywords:

Varicose veins, radiofrequency ablation, endogenous technique, endogenous thermal ablation, great saphenous vein

Abstract

Background, One of the most popular surgical procedures, varicose vein surgery serves as a crucial teaching technique for aspiring surgeons. The great saphenous and short saphenous systems in the lower limbs, which are tortuous and dilated, are the veins most commonly affected by varicose veins. A vessel wall disease or valvular pathology is the cause of a varicose vein. People who work all day standing up typically have long-term effects. The Trendelenburg procedure involves several phlebotomies for the dilated veins below the knee, along with the juxta femoral flush ligation of saphenous veins and vein stripping up to below the knee. The less invasive radiofrequency ablation therapy has replaced the Trendelenburg method and is growing in popularity since it has fewer drawbacks. Venous tissue is thermally damaged when a high-frequency alternating current is employed to transmit electrical energy into the tissue. More research is needed to compare the Trendelenburg and radiofrequency in the chosen group with regard to early ambulation, early return to work, the severity of postoperative pain, recovery time, and complications. Methods An analytical cross-sectional study including 100 people with varicose veins was undertaken from June 2017 to July 2019 and lasted one year and eleven months. 

Downloads

Download data is not yet available.

References

Bergan JJ, Kumins NH, Owens EL, Sparks SR. Surgical and endovascular treatment of lower extremity venous insufficiency: j vasc interv radiol. 2002 jun; 13(6): 563-8.

Casana R, Tolva VS, Odero A Jr, Malloggi C, Parati G. Three-year follow-up and quality of life of endovenous radiofrequency ablation of the great saphenous vein with the closurefast™ procedure: influence of bmi and ceap class. Vascular. 2018 oct; 26(5): 498-508.

Gohel MS, Epstein DM, Davies AH. Cost-effectiveness of traditional and endovenous treatments for varicose veins: Br J surg. 2010 dec; 97(12): 1815-1823.

Kayssi A, Pope M, Vucemilo I, Werneck C. Endovenous radiofrequency ablation for the treatment of varicose veins: Can J surg. 2015 apr; 58(2): 85–86.

Kistner RL, Ferris III EB, Randhawa G, Kalauokalani DA. The evolving management of varicose veins: straub clinic experience. Postgraduate medicine. 1986 sep 15;80(4):51-9.

Meissner MH, Gloviczki P, Gergan J, Kistner RL, Morrison N, Pannier F et al. Primary chronic venous disorders. J vasc surg. 2007;(46):54-67.

Naithani V, Chanda DK, Bhatiya BP, Sharma AK. Surgical management of varicose veins: a comparative analysis between radiofrequency ablation and open surgery with venous stripping. International surgery journal. 2020 sep 23;7(10):3330-2.

Poder TG, Fisette JF, Bédard SK, Despatis MA. Is radio-frequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis. Can J surg. 2018 apr; 61(2): 128–138.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get Vaccinated When It Is Your Turn And Follow The Local Guidelines. International Journal Of Health Sciences, 5(3), X-Xv. Https://Doi.Org/10.53730/Ijhs.V5n3.2938

Van Den Bos R, Arends L, Kockaert M, Neumann M, Nijsten T. Endovenous therapies of lower extremity varicosities: a meta-analysis. J vas surg. 2009;49:230-9

Wright AP, Berridge DC, Scott DJ. Return to work following varicose vein surgery: influence of type of operation, employment and social status. European journal of vascular and endovascular surgery. 2006 may 1;31(5):553-7

Published

09-08-2022

How to Cite

Rathnaganpathi T, R. T., Selvaraj, K., Kannan, R. ., Thulasikumar G, T. G., & Sasikumar P, S. P. (2022). A comparative study between Trendelenburg procedure vs radiofrequency ablation for varicose vein surgery in a tertiary care hospital Chennai- A cross-sectional study. International Journal of Health Sciences, 6(S7), 1700–1707. https://doi.org/10.53730/ijhs.v6nS7.11653

Issue

Section

Peer Review Articles