الفهرس 
• SURGICAL ANATOMY OF THE LOWER LIMB VENOUS SYSTEMOnly 14 pages are availabe for public view
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Abstract
Background: This comparative study compared outcomes of radiofrequency ablation of great saphenous vein versus conventional surgery in healing of venous ulcers.
Aim of the work: Is to analyze the benefits of Radiofrequency ablation (RFA) of the great saphenous vein versus conventional surgery in the healing of venous ulcers.
Patient and Methods: This is a prospective comparative study involving 40 patients, conducted in the Vascular Surgery Department at Ain Shams University Hospitals and Ahmed Maher Hospital in Cairo with follow up at 2, 4 and 6 months. We are publishing the early follow up outcomes of both treatment modalities and more follow up time will be needed to confirm the results of our study.
The study included 40 patients, 20 patients for conventional surgery (group A) & 20 patients for conventional RFA (group B) suffering from primary varicose veins with venous ulcers. Mean age was 29.15 for group A and 28.45 for group B; 28 (70%) of the patients were males.
Results: According to age, no statistical difference between GSV stripping and RFA. Both treatment modalities are equally effective according to improvement and decrease in CEAP clinical class and venous clinical severity scores (VCSS). RFA needed less time in operation room in comparison to stripping. Also RFA needed few hours in the hospital while almost all patients underwent stripping were discharged on the next day.
Conclusion: The present study confirmed that both surgery and RFA are highly effective. Both resulted in significant decrease in venous ulcer size and improvement in the objective severity of venous disease (VCSS and VDS). RFA is less time consuming than stripping as regard operation time and hospital stay. Successful treatment of venous ulcer results in significant improvements of Quality of life (QoL). RFA has less post-procedure pain than surgery and allow early return to work and normal activities.