Introduction

 Prevalence rate of Varicose vein(VV) is approximately 25–55% of population.Various modalities regarding treatment of VVs are Endovenous Laser or Radiofrequency ablation,Foam sclerotherapy, conventional surgery. Endovenous thermal ablation is costly for the most of Indian patients and both works at highertemperature.Foam sclerotherapy is very cheap as copmpared to Laser or Radiofrequency ablation. This study is to compare outcomes between ultrasound guided Foam  sclerotherapy(USGFS) and Endovenous  laser Ablation (EVLA) in the Indian patients.

Methods

In group A 15 patients were treated by USGFS and Group B 18 patients VV were treated by EVLA.Patients were followed at 1 and 3 months to compare various outcomes.

Results

Hyperpigmentation at one month was 33.33% in USGFS and 16.67% patients in Laser group while at 3 months it was 13.33 %and 5.56%. Hyperpigmentation was more in USGFS but was statistically insignificant.

Wound infection was in 26.67 % patients in USGFS and 11.11% patients in Laser group at one month. Although it was more in USGFS group but was statistically insignificant.

Paresthesia(numbness , tingling in thigh) was in 20.0% patients and in 27.78% patients in USGFS and Laser therapy respectively at 1month while it wasin 6.67% and 11.11% patients at 6month respectively.It was also statistically insignificant

Conclusion

As Endovenous thermal ablation is costly for people of  Indian populations. Foam slerotherapy may be another option for those patient having economic burden. USGFS is safe and feasible . Wound infection and hyperpigmentation is slightly more in USGFS but is acceptable and insignificant. Being nonthermal USGFS is nonthermal it causes less paresthesia.