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

Finally Daily Routine: Endovenous Outpatient Treatment of Varicose Veins Abstract. During the last 20 years endovenous treatment options have replaced surgery of varicose veins in many countries or stand for an equally effective alternative treatment option. Endothermal ablation of refluxing saphenous veins by Laser or radiofrequency means outpatient treatment under local anesthesia and immediate return to routine daily activity. Prospectively randomized trials with follow-up intervals of 5 years show equal efficacy and a similar side effect profile of endothermal saphenous vein ablation compared to surgery, therefore, various guidelines of international scientific societies either recommend endothermal treatments over surgery or at least as an equally ranked treatment alternative. Currently, non-thermal-non tumescent treatment options like cyanoacrylate glue or mechanochemical ablation open a new chapter for the treatment of refluxing saphenous veins. Early results are promising, however, prospectively randomized trails comparing established treatment options are currently rare.