[Finally Daily Routine: Endovenous Outpatient Treatment of Varicose Veins]

Area of Science:

• Vascular Surgery
• Minimally Invasive Procedures

Background:

• Endovenous treatments have become primary or alternative options for varicose veins over the past two decades.
• Traditional surgical interventions are being increasingly supplanted by less invasive endovenous methods.

Purpose of the Study:

• To evaluate the efficacy and safety of endovenous ablation for treating refluxing saphenous veins.
• To compare endovenous ablation with traditional surgical methods for varicose vein treatment.

Main Methods:

• Review of prospective randomized trials comparing endovenous ablation (laser, radiofrequency) with surgery.
• Analysis of long-term follow-up data (5 years) regarding efficacy and side effect profiles.

Main Results:

• Endovenous ablation demonstrates equal efficacy and a comparable side effect profile to surgical treatment for varicose veins.
• International guidelines increasingly recommend endovenous treatments as a preferred or equivalent alternative to surgery.

Conclusions:

• Endovenous ablation is a well-established, effective outpatient treatment for varicose veins, comparable to surgery.
• Emerging non-thermal, non-tumescent techniques show promise, but require further randomized trials for validation.