Biography
Biography: Mamta Arora
Abstract
Introduction: The last decade has been like a crusade in the treatment of varicose veins, one after the other new development, advances in techniques each method claiming to be better than the other. I wish to present a report on comparison of all the methods of treatment for a patient population of around 1500, cases ranging from CEAP 3 to CEAP 6 all treated by various endovenous ablation methods.
Objective: To determine the best method of treatment of varicose veins by doing a retrospective analysis of around 1500 patients of varicose veins treated in a private hospital in the UAE.
Methods: 1500 patients who underwent treatment of varicose veins in this hospital by various methods were studied over a period of 8 years from 2015 to 2023. The age group is 25 to 55 years, 60 percent males and 40 percent females. The various treatment methods were laser ablation, radio-frequency ablation, microwave ablation, venaseal ablation and stab avulsions with injection sclerotherapy. Patients were assessed by venous Doppler examination, CEAP scores and venous clinical severity scores. Mean CEAP score was 4-5. Reflux time was above 0.5 milliseconds and vein size was above 4.5 mm. Results: A comparative study showed that all methods produced a reasonably effective means of closure of axial veins long and short saphenous with minimal complications in the long and short term. Methods varied in the ease of procedure, patient comfort, versatility of use in different areas and in recurrence.