الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Varicose veins are a very common problem all over the world. Surgery has been the gold standard treatment for many years, however now other less invasive options are available and sometimes more efficient.
The purpose of this study was to evaluate the RFA technique in treatment of GSV varicosities and to compare the results, clinical outcome, complications and recurrence rate after RFA and CS of GSV.
In this study 41 patients with varicose vein were randomized to CS and another 41 patients underwent RFA of the GSV in Nasser institute.
CS was done by the usual groin incision and stripping under spinal or general anesthesia while the RFA was done under local (tumescent) anesthesia helped by sedation (Deprivan) in some patients, using the EVRF device.
Operative time was significantly less in CS compared to RFA.
One , six and twelve months post intervention follow up using clinical examination and duplex imaging were used to asses outcome and detect complications and recurrence rate.
No major complications were detected after both techniques; however minor post operative complications like paresthesia and ecchymosis were significantly less after RFA.
Post operative pain, duration of analgesia use and time needed to return to normal activity were also significantly less in RFA group than CS group.
Recanalization of GSV was not detected after radiofrequency maneuver nor CS. This study proved that radiofrequency ablation technique is a safe and efficient in treating varicose veins however long-term results and cost effectiveness need further evaluation
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