The Impact of Targeted Endovenous Radiofrequency Ablation versus Excluded Saphenous Vein Surgery in Management of Incompetent Giacomini Vein

Background: Insufficiency in the Giacomini vein can present in isolation but is mostly seen together with a GSV insufficiency. It has been shown to be effectively treated either with endovenous laser ablation or by ultrasound guided sclerotherapy. The aim of this work was to compare the impact of targeted endovenous radiofrequency ablation versus excluded saphenous vein surgery in management of incompetent Giacomini vein.Methods: The current prospective study was conducted on 64 patients with incompetent Giacomini vein. Patients were divided equally into 2 groups, group (A) n=(32) who were treated with radiofrequency ablation and group (B) n=(32) who were treated with surgery. Follow up was planned 6 months for (Pigmentation, Ecchymosis, Paraesthesia and Recurrence).Results: The mean age of the included patient was (36.87 ± 9.34) and (37.70 ± 9.37) in group A&B respectively. There was no statistically significant difference between the two groups regarding the postoperative complications at 1, 3 and 6 months (pigmentation, ecchymosis, paraesthesia, and recurrence). The VCSS (After treatment) was statistically significantly lower in the RFA group. Both groups showed improvement of VCSS after treatment.Conclusions: Targeted endovenous radiofrequency ablation was associated with better outcomes during the Management of Incompetent Giacomini Vein.