Introduction: To analyse and compare outcomes between haemorrhoidectomies performed with conventional Milligan Morgan technique vs surgery using radiofrequency device. Materials: RCT study conducted in a tertiary care, teaching hospital on patients of age 18-70 years from either gender with symptomatic grade III/ IV haemorrhoids undergoing haemorrhoidectomy. Results: 25 patients each were randomised into two groups with comparable baseline parameters. Ease of surgery was 7.6+0.69 and 8.64+1.05 (mean + SD) for MMH and RFH groups respectively. Similarly, intra-operative blood loss was 18.92+5.06 and 9.56+3.52 ml; time taken was 18.64+3.59 and 8.4+1.83 min; 24 hr post op site pain was 8.44+1.35 and 7.24+1.03; and hospital stay was 2.64+1.02 and 2.02+0.96 days for MMH group and RFH groups respectively. Early complications were comparable; however, long term complications were noted to be higher in MMH group. Conclusion: Radio-frequency ablation technique was found to have better operative parameters with lesser complications, and hence recommended.

Background: Chronic venous disease is a prevalent and progressive disease. There has been a tremendous increase in venous technologies and procedural volumes over the past decade, but still, there is a great deficiency in available clinical data. Reporting of clinical outcomes in a standard fashion is the need of the hour required to compare devices and other therapeutic methods intended to improve clinical outcomes. Materials and Methods: This is a prospective observational study carried out between November 2016 and October 2018 on 200 consecutive cases that underwent surgical management for varicose veins. Results: Revised venous clinical severity score (RVCSS) scores reduced significantly after surgical intervention and subsequent follow-up; however, when comparing the scores between the two groups, there was no significant statistical difference. Conclusion: RVCSS coupled with Clinical-Etiology-Anatomy-Pathophysiology provides a standard clinical language to report and compare different approaches to cardiovascular diseases management. Ligation and stripping (L and S) are the gold standard for the treatment of varicose veins, endovascular procedures are expensive and have similar efficacy as L and S, however, are preferred in the present era due to better cosmetic and faster recovery.