Журнал "Пластическая хирургия и восстановительная медицина"

Annotation

Resume.

Goal.

To evaluate the effectiveness of endovenous radiofrequency ablation (RFA) and laser ablation (EVLA) in the treatment of superficial varicose veins of the lower extremities.

Material and methods.

Seventyeight patients with superficial varicose veins were admitted to the Department of Vascular Surgery of the Republican Scientific Center for Cardiovascular Surgery. They were treated at the hospital from April 2022 to May 2023. They were divided into two groups depending on the treatment method: the radiofrequency ablation group (RFA group; 37 patients) and the laser ablation group (EVLA group; 41 patients). The duration of surgery, postoperative recovery period, changes in the venous clinical severity index (VCSS), complication rate, vein closure rate, and recurrence rate at 1, 3, and 12 months after surgery were compared. Treatment outcomes were comprehensively assessed.

Results.

There were no statistically significant differences in age, gender, disease severity, or disease duration between the groups (P > 0.05). At 1 and 3 months postoperatively, the varicose vein closure rate was 100% in both groups. At 12 months, the closure rate was 94.87% in the RFA group and 97.43% in the EVLA group; the differences were not statistically significant (P > 0.05). There were also no significant differences in VCSS changes or complication rates between the groups (P > 0.05).

Conclusion.

Thus, an analysis of our own data, compared with the results of modern domestic and international studies, demonstrates that radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are highly effective and safe treatments for superficial varicose veins of the lower extremities. The absence of statistically significant differences in key clinical and functional parameters allows these methods to be considered equivalent alternatives. The choice of a specific technology should be based on the anatomical features of the patient’s venous system, the technical equipment of the medical facility, and the experience of the operating surgeon.

Keywords

varicose veins of the lower extremities superficial varicose veins radiofrequency ablation endovenous laser ablation endovasal treatment methods venous reflux clinical efficacy VCSS scale postoperative complications minimally invasive surgery.

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List of literature

1. Гаибов А.Д., Калмыков Е.Л., Иноятов М.С. Первый опыт применения эндовазальной лазерной коагуляции при лечении варикозной болезни в Таджикистане. Вестник Авиценны. 2013; 15(2): 12–19.
2. Гаибов А.Д., Калмыков Е.Л., Иноятов М.С. Малоинвазивные методы хирургического лечения варикозной болезни вен нижних конечностей. Вестник Авиценны. 2014; 1: 45–51.
3. Тухтаев Ф.М., Султанов Д.Д., Шаймонов А.Х., Гулин А.В., Саидов М.С. Современное состояние проблемы ведения больных с посттромботической болезнью нижних конечностей (обзор литературы). Вестник Тамбовского университета. Серия: Естественные и технические науки. 2017; 22(2): 362-367.
4. Шарипов Г.Н., Исмоилов М.М., Шаймонов А.Х., Саидов М.С., Исмоилов Э.Х. Варикозная болезнь вен малого таза, поликистоз яичников и другая сопутствующая патология у женщин с трубной беременностью. Вестник Смоленской государственной медицинской академии. 2019; 18(1): 99-102.
5. Султанов Д.Д., Авгонов У.М., Абдужаббаров А.А., Азизов А.А., Саидов М.С. Комбинированные операции при венозной трофической язве. Известия Академии наук Республики Таджикистан. Отделение биологических и медицинских наук. 2013; 1(182): 57-64.
6. Mubarak S.A., Reffat S.A., Boulos M.R. Comparison of Endovenous Laser versus Radiofrequency Ablation in the Treatment of Primary Long Saphenous Varicose Veins. Suez Canal University Medical Journal. 2023; 26(1): 55–60. https://doi.org/10.21608/scumj.2023.284235.
7. Дудецкая Ю.С., Старикова А.К., Ибадов Н.И. Современные методы хирургического лечения варикозного расширения вен нижних конечностей. Актуальные исследования. 2023; 52(182): 19.
8. Mohammadi Tofigh A., Tahmasebi H., Zebarjadi J. Comparing the Success Rate and Side Effects of Endovenous Laser Ablation and Radiofrequency Ablation to Treat Varicose Veins in the Lower Limbs: A Randomized Clinical Trial. Journal of Lasers in Medical Sciences. 2020; 11(Suppl 1): S43-S48. https://doi.org/10.34172/jlms.2020.S7.
9. Hamann S.A.S., Timmer-de Mik L., Fritschy W.M., Kuiters G.R.R., Nijsten T.E.C., Bos R.R. Randomized clinical trial of endovenous laser ablation versus direct and indirect radiofrequency ablation for the treatment of great saphenous varicose veins. Journal of British Surgery. 2019; 106(8): 998–1004.
10. Jiang W., Liang Y., Long Z., Hu M., Yang H., Qin X. Endovenous radiofrequency ablation vs laser ablation in patients with lower extremity varicose veins: A meta-analysis. Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2024; 12(5): 101842.
11. He G., Zheng C., Yu M.A., Zhang H. Comparison of ultrasound-guided endovenous laser ablation and radiofrequency for the varicose veins treatment: An updated meta-analysis. International Journal of Surgery. 2017; 39: 267-275.
12. Raetz J., Wilson M., Collins K. Varicose Veins: Diagnosis and Treatment. American Family Physician. 2019; 99(11): 682–688.
13. Волков А.С., Дибиров М.Д., Шиманко А.И., Гаджимурадов Р.У., Цуранов С.В., Швыдко В.С., Тюрин Д.С., Магдиев А.Х., Парфентьев Э.А. Сравнение результатов применения эндовазальной лазерной облитерации и радиочастотной облитерации ствола большой подкожной вены в комплексном лечении больных с варикозной болезнью нижних конечностей. Флебология. 2020; 14(2): 91–98. https://doi.org/10.17116/flebo20201402191.
14. Lim E.Q., Lim A.J.K., Twomey A. Clinical effectiveness and patient-reported outcomes of endovenous ablation and surgical stripping in varicose vein management: a systematic review. BMC Surgery. 2025; 26(41): 1-11. https://doi.org/10.1186/s12893-025-03269-x.
15. Солиев О.Ф., Султанов Д.Д., Курбанов С.П., Курбанов Н.Р., Хван И.Н., Амонов Ш.Ш. Важнейшие аспекты эпидемиологии, факторов риска и лечения варикозной болезни. Вестник Авиценны. 2020; 22(2): 320-328. https://doi.org/10.25005/2074-0581-2020-22-2-320-328.
16. Султанов Д.Д., Неъматзода О., Солиев О.Ф., Курбонов С.П., Гульмурадов У.Т., Хван И.Н. Эффективность эндоваенозной лазерной коагуляции в лечении варикозной болезни. Здравоохранение Таджикистана. 2020; 4: 49-55.
17. Султанов Д.Д., Калмыков Е.Л., Гаибов А.Д., Солиев О.Ф., Додхоев Д.С., Неъматзода О. Эпидемиология хронических заболеваний вен среди сельских жителей Таджикистана. Флебология. 2019; 13(4): 307-313. https://doi.org/10.17116/flebo201913041307.

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English

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CC BY 4.0

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There was no financial support.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

INFORMATION ABOUT THE AUTHORS:

*Soliev Olimzhon Fattoevich – Candi- date of Medical Sciences, Assistant Pro- fessor at the Department of Surgical Dis- eases No. 2 named after Academician N.
U. Usmanov, State Educational Institution “Tajik State Medical University named af- ter Avicenna”, Dushanbe, Tajikistan.
E-mail: saliyev_2019@bk.ru
https://orcid.org/0000-0003-4665-4969

Sultanov Javli Davronovich – Doctor of Medical Sciences, Professor, Deputy Di- rector for Research, Republican Scientific Center for Cardiovascular Surgery, Profes- sor, Department of Surgical Diseases No. 2 named after Academician N.U. Usmanova, State Educational Institution "Tajik State Medical University named after Avicen- na", Dushanbe, Tajikistan.
E-mail: sultanov57@mail.ru
https://orcid.org/0000-0001-7935-7763

Nematzoda Okildzhon – Candidate of Medical Sciences, Leading Researcher of the Republican Scientific Center for Car- diovascular Surgery, Dushanbe, Tajiki- stan.
E-mail: sadriev_o_n@mail.ru
https: //orcid.org/ 0000-0001-7602-7611

Kurbanov Nuryagdy Rozmuradovich – Candidate of Medical Sciences, Assistant Professor, Department of Surgical Diseas- es No. 2 named after Academician N.U. Usmanov, State Educational Institution “Tajik State Medical University named af- ter Avicenna”, Researcher, Department of Vascular Surgery, Republican Scientific Center for Cardiovascular Surgery, Du- shanbe, Tajikistan.
E-mail: kurbanovnr71@mail.ru
https://orcid.org/0000-0002-8277-1292

Konunova Dilbar Mekhrudinova – Candidate of Medical Sciences, Head of the Science Department of the Republi- can Scientific Center for Cardiovascular Surgery, Dushanbe, Tajikistan.
E-mail: dibat_kanunova@mail.ru
https: //orcid.org/ 0009-0001-9597-438Х

Yunusov Khuseyn Abdulkhakovich –Candidate of Medical Sciences, Scien- tific Secretary, Department of Science, Republican Scientific Center for Car- diovascular Surgery, Dushanbe, Tajiki- stan.
E-mail: husein-yunusov89@mail.ru
https://orcid.org/0000-0001-8569-3384

Isufov Sulaimon Abdulfayozovich – postgraduate student of the Department of Surgical Diseases No. 2 named after Academician N.U. Usmanov of the State Educational Institution “Tajik State Med- ical University named after Avicenna”, Dushanbe, Tajikistan.
E-mail: isufovsulaymon@gmail.com
https://orcid.org/0009-0003-8649-3431

*Correspondence address.

EFFECTIVENESS OF RADIOFREQUENCY AND LASER ABLATION IN THE TREATMENT OF SUPERFICIAL VARICOSE VEINS OF THE LOWER EXTREMITIES

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