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Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins.
Br J Surg. 2010 Mar; 97(3):328-36.BJ

Abstract

BACKGROUND

This randomized clinical trial compared early outcomes after radiofrequency ablation (RFA) and conventional surgery for varicose veins.

METHODS

Consecutive patients with symptomatic varicose veins due to isolated great saphenous vein (GSV) incompetence and suitable for RFA were randomized to either RFA or conventional surgery (saphenofemoral disconnection and stripping). Clinical, radiological and patient-based outcomes were recorded at 1 and 5 weeks after intervention.

RESULTS

RFA resulted in successful obliteration of the GSV in all 47 patients. Complete above-knee stripping was unsuccessful in seven of 41 patients. RFA took longer than conventional surgery: median interquartile range 76 (67-84) versus 48 (39-54) min; P < 0.001. Patients returned to their normal activities significantly earlier after RFA (median 3 (2-5) versus 12.5 (4-21) days; P < 0.001). Postoperative pain was significantly less after RFA (median score on visual analogue scale 1.70 (0.50-4.30) versus 4.0 (2.35-6.05); P = 0.001). Patient satisfaction, quality of life improvement and analgesic requirements significantly favoured RFA.

CONCLUSION

RFA took longer to perform but resulted in a significantly better early outcome than conventional surgery in suitable patients with great saphenous varicose veins.

Authors+Show Affiliations

Department of General Surgery, King's Mill Hospital, Mansfield, UK.No affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20035541

Citation

Subramonia, S, and T Lees. "Randomized Clinical Trial of Radiofrequency Ablation or Conventional High Ligation and Stripping for Great Saphenous Varicose Veins." The British Journal of Surgery, vol. 97, no. 3, 2010, pp. 328-36.
Subramonia S, Lees T. Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins. Br J Surg. 2010;97(3):328-36.
Subramonia, S., & Lees, T. (2010). Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins. The British Journal of Surgery, 97(3), 328-36. https://doi.org/10.1002/bjs.6867
Subramonia S, Lees T. Randomized Clinical Trial of Radiofrequency Ablation or Conventional High Ligation and Stripping for Great Saphenous Varicose Veins. Br J Surg. 2010;97(3):328-36. PubMed PMID: 20035541.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins. AU - Subramonia,S, AU - Lees,T, PY - 2009/12/26/entrez PY - 2009/12/26/pubmed PY - 2010/3/26/medline SP - 328 EP - 36 JF - The British journal of surgery JO - Br J Surg VL - 97 IS - 3 N2 - BACKGROUND: This randomized clinical trial compared early outcomes after radiofrequency ablation (RFA) and conventional surgery for varicose veins. METHODS: Consecutive patients with symptomatic varicose veins due to isolated great saphenous vein (GSV) incompetence and suitable for RFA were randomized to either RFA or conventional surgery (saphenofemoral disconnection and stripping). Clinical, radiological and patient-based outcomes were recorded at 1 and 5 weeks after intervention. RESULTS: RFA resulted in successful obliteration of the GSV in all 47 patients. Complete above-knee stripping was unsuccessful in seven of 41 patients. RFA took longer than conventional surgery: median interquartile range 76 (67-84) versus 48 (39-54) min; P < 0.001. Patients returned to their normal activities significantly earlier after RFA (median 3 (2-5) versus 12.5 (4-21) days; P < 0.001). Postoperative pain was significantly less after RFA (median score on visual analogue scale 1.70 (0.50-4.30) versus 4.0 (2.35-6.05); P = 0.001). Patient satisfaction, quality of life improvement and analgesic requirements significantly favoured RFA. CONCLUSION: RFA took longer to perform but resulted in a significantly better early outcome than conventional surgery in suitable patients with great saphenous varicose veins. SN - 1365-2168 UR - https://www.unboundmedicine.com/medline/citation/20035541/Randomized_clinical_trial_of_radiofrequency_ablation_or_conventional_high_ligation_and_stripping_for_great_saphenous_varicose_veins_ L2 - https://doi.org/10.1002/bjs.6867 DB - PRIME DP - Unbound Medicine ER -