A Study of Treatment Outcomes on the Basis of Revised Venous Clinical Severity Score in Patients of Varicose Veins Undergoing Surgical Management

Background: Varicose veins is a prevalent and progressive disease. Although, there has been tremendous growth in venous technologies and procedural volumes over the past decade, yet there is great deficiency in available clinical data. Reporting of clinical outcomes in a standard format is the need of the hour which is required to compare devices and other therapeutic methods intended to improve clinical outcomes. Method: This is a prospective observational study carried out between Nov 2016 to Oct 2018 on 200 consecutive cases that underwent surgical management for varicose veins. Result: rVCSS scores reduced significantly after surgical intervention and subsequent follow up, however when comparing the scores between the endovascular and surgical patient groups there was no significant statistical difference. Conclusion: RVCSS coupled with clinical CEAP provides a standard clinical language to report and compare differing approaches to CVD management. Ligation and stripping is the gold standard for treatment of varicose veins. Endovascular procedures have similar efficacy as ligation and striping, but are expensive, yet preferred in the present era due to better cosmetic and faster recovery.