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Background Varicose vein is considered as one of the commonly practiced venous problems for decades not only by vascular surgeons but also by general surgeons. Aim The purpose of the current study was to compare the results of management of lower limb superficial varicosities using conventional surgery versus endovenous laser ablation (EVLA) therapy. Patients and methods A retrospective study took place in the period of three years from January 2015 until December 2017. Patients were selected for having reflux of the great saphenous vein (GSV) with primary varicosities of the lower limb presenting to the vascular surgery clinic. Patients were divided into two groups: group I included those who were treated with GSV short stripping and saphenofemoral junction disconnection, whereas group II involved patients who underwent EVLA. Results The study included 80 patients. There were 50 females and 30 males, with a female to male ratio of 5 : 3. Patients’ age ranged from 22 to 44 years, with a median age of 34 years. There was a significantly higher initial technical success rate of 95% (n=38) in the group treated with EVLA versus 90% (n=36) in the group treated surgically (P=0 · 006). Operative outcome was statistically significantly higher in the group treated with EVLA compared with the surgically treated group (P=0.002). A significant difference between operative procedures versus operative outcome was seen (P=0.002). Recurrent varicosities were observed in 10% and 5% in group I and group II, respectively. Heat-induced deep vein thrombosis was reported in 2.5% of cases. Conclusion Treatment of superficial varicosities with EVLA had a lower incidence recurrence rate than traditional surgery in the short-term follow-up. Moreover, the minimally invasive EVLA therapy, especially, in female patients seems to be a highly effective and safe modality for treatment of primary GSV varicosities.

Background: Prevalence of gallstones in cirrhotics is estimated at 29-46% and thus is three times as high as those without liver cirrhosis. Cirrhosis increase incidence of gallstones formation (black stones) with an overall prevalence of 25% to 30%.Aim Study: To compare between the rationale, risk and morbidity of open cholecystetomy versus and laparoscopic cholecystectomy in cirrhotic patients. As regard to operative time, intra operative and post-operative blood loss, time to resume diet, complications, mortality incidence, and postoperative subjective pain score.Patients and Method: This study was a prospective comparative study on laparoscopic versus open cholecystectomy in cirrhotic patients. The cases were performed in the period from April 2016 till October 2018. 100 patients with symptomatic gallstone disease and liver cirrhosis including Child class A or Child class B, were randomly divided into two groups, Group (A): Laparoscopic Cholecystectomy (LC) and Group (B): Open Cholecystectomy (OC).Results: In LC group two cases (4%) were converted to open cholecystectomy. Mean surgical times were significantly shorter in LC (Group A) group. The mean +SD (in minutes) of OC (Group B) and LC (Group A) was 97.69 ± 15.79 versus 63.58 ± 9.93, respectively, (p<0.001), associated with significantly higher intraoperative bleeding in OC group (p<0.001). The mean time to resume diet (hours) was 10.69 ± 5.41 in (Group A) it was significantly earlier than in (Group B) 24.15 ±6.74 (p<0.001). The length of hospital stay (days) was significantly longer in (Group B) with a mean hospital stay 5.08 ± 1.56, compared with a mean hospital stay 2.60 ±0.61 for (Group A) (p<0.001) with low post-operative morbidity and no operative mortality. Conclusion:Laparoscopic Cholecystectomy (LC) offers safe and effective surgical treatment for cirrhotic patients of (Child class A and early B) suffering from gallstone disease, as it has lower morbidity, shorter operative time; early resumption diet with less need for blood transfusion and reducing hospital stay than OC.