Radiofrequency Thermal Ablation for the Treatment of Chronic Insufficiency of the Saphenous Vein—A Comparative Retrospective Study

Octavian Andercou, Bogdan Stancu (), Horațiu Flaviu Coman, Beatrix Cucuruz, Thomas Noppeney and Dorin Marian
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Octavian Andercou: Department of Surgery, University of Medicine and Pharmacy “Iuliu Hatieganu”, 400347 Cluj-Napoca, Romania
Bogdan Stancu: Department of Surgery, University of Medicine and Pharmacy “Iuliu Hatieganu”, 400347 Cluj-Napoca, Romania
Horațiu Flaviu Coman: Department of Vascular Surgery, County Emergency Hospital, 400347 Cluj-Napoca, Romania
Beatrix Cucuruz: Department of Vascular Surgery, Martha Maria Hospital Nuremberg, 90491 Nuremberg, Germany
Thomas Noppeney: Department of Vascular and Endovascular Surgery, University Hospital Regensburg, 93053 Regensburg, Germany
Dorin Marian: Department of Surgery, University of Medicine and Pharmacy “George Palade”, 540142 Targu Mures, Romania

IJERPH, 2023, vol. 20, issue 4, 1-13

Abstract: Objectives: The broad spectrum of chronic venous disease encompasses varicose veins, edema, hyperpigmentation and venous ulcers. Radiofrequency thermal ablation is indicated for the treatment of superficial venous reflux of the lower limb. Our research is a comparative clinical study that aims to identify the most effective and safest therapeutic method in the management of chronic venous insufficiency of the lower limbs. Materials and methods: Patients admitted to the Department of Surgery of the University of Medicine and Pharmacy in Cluj-Napoca, Romania, with the clinical diagnosis of varicose veins of the lower limbs, treated by thermal ablation with radiofrequency or by open surgical techniques during the year 2022, were included. Results: A percentage of 50.9% of the patients were treated by the radiofrequency thermal ablation procedure and 49.1% by surgical treatment. More than half of them were hospitalized for 2 days. The duration of hospitalization was significantly longer in patients who had postoperative complications ( p < 0.001). The chance of being treated by open surgical treatment for a small saphenous vein is 10.11 times higher than by radiofrequency thermal ablation. Conclusion: According to the applied tests, there is no statistical difference between the group treated by radiofrequency thermal ablation and the one surgically treated in terms of sex, age, origin, CEAP clinical stage at hospitalization, clinical diagnosis at hospitalization and affected lower limb.

Keywords: varicose veins; radiofrequency ablation; surgical treatment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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