Step-by-step approach to setup a guideline-based varicose vein program in a publicly funded hospital in a developing country: A personal experience

Abstract

Offering guideline-based treatment in the era of endovenous thermal ablation of varicose veins (VVs) and image-guided sclerotherapy is a challenge in developing countries due to the financial constraints and lack of expertise. Training in ultrasonography, hand-eye coordination, and technique of endothermal ablation are required in addition to cost reduction measures to offer endovenous thermal ablation of VV in publicly funded hospitals in developing countries. The present article describes step-by-step approach of a general surgeon to acquire skills in duplex ultrasonography, hand-eye coordination, and technique of endovenous thermal ablation therapy to treat patients with VV based on guidelines and to establish institutional VV program in Sri Lanka.