RANDOMIZED CONTROLLED TRIAL OF ENDOVENOUS LASER THERAPY VERSUS SURGICAL STRIPPING FOR VARICOSE VEINS

Abstract

Varicose veins are a common condition affecting a large portion of the population, often resulting in significant morbidity and reduced quality of life. Various treatment options are available, with endovenous laser therapy (EVLT) and surgical stripping being the two most widely discussed methods. This study aimed to compare the efficacy and safety of EVLT versus traditional surgical stripping in treating varicose veins. A randomized controlled trial was conducted involving 120 patients diagnosed with symptomatic varicose veins. The primary outcomes were the improvement in venous symptoms, recurrence of varicosities, and post-procedural complications. The results indicated that EVLT had significantly lower recurrence rates and faster recovery times when compared to surgical stripping (p < 0.05). However, surgical stripping demonstrated slightly better long-term symptom relief, particularly in patients with larger varicosities. Both procedures showed similar complication rates, with EVLT offering fewer wound-related issues. These results suggest that EVLT may be a preferable option for patients seeking less invasive treatment with comparable long-term outcomes. This study provides valuable data to guide clinical decisions in managing varicose veins, indicating that while both treatments are effective, the choice of treatment should be tailored based on individual patient factors.