الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 142 |  |  |
| | | from | 142 | | |
Abstract
The natural history of varicose vein has received increased attention as our understanding and imaging capabilities of venous system have developed over the past three decades. Lower extremity varicose vein is a common medical condition that affects approximately 25% of women and 15% of men.
In the recent years, new trends of treatment for varicose veins have started to become popular .The main aim of all new intervention is to reduce trauma to the patient and fasten full recovery, avoid general anesthesia, groin incisions and thigh hematomas.
Due to higher patients satisfaction, shorter recovery times, lower cost and ease of operation. EVLT of the great and/or short saphenous vein has become the treatment of choice of varicose veins.
Until the past few years, classic surgical methods of varicose vein removal mainly vein stripping were considered as the most radical and effective ways to cope with the pathology. On the other hand, traumatizing nature of these methods yielded several side effects which directed surgeons’ attention to less invasive treatment modalities, in particular endovenous laser ablation (EVLA). The development of minimally invasive procedures for the treatment of varicose veins has been led by a desire to reduce operative trauma and bruising associated with standard surgical techniques. Currently there are two major thermal endovenous treatments available, Endovenous Laser Ablation (EVLA) and Radiofrequency Ablation (RFA) (Uruski, Aniukiewicz et al.,2017).
EVLT of the GSV was first described by Puglisi in1989 in the International Union of Phlebology (Puglisi et al.,1989) and the first successful results were reported by Navarro in 2001 (Navarro et al.,2001). Although no multicenter clinical trials of the safety and efficacy of this procedure in humans have been published, many case series and some analysis of pathophysiological effects have been published subsequently.