Vol. 9, Issue 3, Part B (2025)

Varicose veins have been the commonest venous problem among adults and surgery is the gold standard in treatment of Chronic Venous Insufficiency leading to varicose veins. We compares two treatment modalities conventional surgery with Radio Frequency Ablation in the treatment of varicose veins using physical, clinical and radiologic imaging. This was a single institute based prospective cohort study. It was reported that 100 patients in total were assessed in the study, out of which, 40 were non-randomized, and 60 underwent the intervention as a daily procedure. 30 patients (Group R) underwent RFA, and 30 patients (Group C) had conventional surgery. Postoperative follow-up at one week and at three months was done clinically and using Doppler ultrasound to look for any complication or the recanalization of vein. Follow-up ultrasound revealed 98.3% reflux-free in the RFA group and 92.7% in the conventional surgery group, with RFA patients returning to normal activities in 1 days compared to 7 days for conventional surgery group patients. RFA is a preferred alternative for treating superficial and perforator venous reflux disease, outperforming conventional surgery in terms of morbidity and in terms of early ambulation, early return to work, less intense post-operative pain, quick recovery, and few complications.