Life Style and Outcome Assessment of Radiofrequency Versus Endovenous Laser Ablation in Management of Varicose Veins, a Comparative Study

Introduction: The lower limbs are frequently affected by varicose veins (VVs), which are dilated, convoluted veins. Inorder to manage VVs, conventional surgery proved difficult, and endovenous procedures like radiofrequency ablation(RFA) and endovenous laser ablation (EVLA) have lately taken its place.Objective: This study investigated the effects of RFA compared with EVLA in treating VVs in terms of patient satisfactionand postoperative complications.Methods: Seventy patients with lower limb primary VV were enrolled in this multicenter interventional prospectiverandomised controlled trial, which took place at three tertiary institutions between January and September of 2023. Twogroups—the RFA group and the EVLA group—were randomly assigned to each patient. Post-operative conditions wereestimated using the Villata score, and post-operative success, complications, and recurrence were evaluated.Results: The average age of the cases in the RFA group and EVLA groups was 36.51±7.25 and 37.63±7.48 years,respectively. Hyperpigmentation showed a significantly higher level in the RFA group. Both groups had almost the sameimmediate and delayed success rate, between 96% and 98%. Recurrence rates during follow-up showed no statisticallysignificant difference. The overall Villalta score, as well as its domains and pain distributions among the study participants,did not show a significant difference between the RFA and the EVLA, where both groups show significant enhancement.Conclusion: RFA and LA improve pain and life quality similarly in patients with VVs, making them a first choice intreating primary varicose veins.