A comparative study on outcome of surgical management of varicose veins with and without venous stripping

Authors

  • V. Balasubramaniam Department of General Surgery, Headquarters Hospital, Ooty, Tamil Nadu

DOI:

https://doi.org/10.18203/2349-2902.isj20210517

Keywords:

Varicose veins with and without venous stripping, Outcome, Surgical management, Comparative study

Abstract

Background: Varicose veins are dilated, elongated and tortuous veins. Though not a very fatal disease the morbidity caused by this disease is more. The treatment modalities available are conservative, surgical and endovenous therapies. In this comparative study, the outcome of surgical management of varicose veins with and without venous stripping is compared and analyzed.

Methods: During the period of September 2017 to November 2018. 92 cases of varicose veins were operated in all surgical units in the headquarters hospital, Ooty. A thorough clinical examination in good light will give the maximum information about the varicosities. To avoid recurrence due to anatomic variations in the leg veins and to mark the exact site of incompetent vessels for easy surgical approach with minimal incisions and to rule out deep vein thrombosis (DVT) imaging studies are now routinely done.

Results: The hematoma formation in the thigh was seen in 28% of patients who underwent venous stripping whereas it was seen in 4% who underwent Trendelenburg procedure alone without venous stripping. These wounds were examined in the postoperative period. 4% of patients in each group had delayed wound healing.

Conclusions: Concerning wound healing, hospital stay, and pain relief there is no significant difference between the two procedures. So, as for as the variables observed, the Trendelenburg procedure with incompetent perforators ligation without venous stripping appears to be better than Trendelenburg procedure with incompetent perforators ligation with venous stripping.

Author Biography

V. Balasubramaniam, Department of General Surgery, Headquarters Hospital, Ooty, Tamil Nadu

assistant professor- regular publisher in medicp acdemay journal

References

Cronenwett JL, Johnston KW. Cambria. Rutherford‟s vascular surgery, 7th edition. Saunders. 2014;831-901.

Williams NS, Bulstrode CJK, O’Connell PR. Bailey & Love’s short practice of surgery, 25th edition. 2008;925-38.

Fischer JE, Jones DB, Pomposelli FB, Upchurch GR. Fischer‟s Mastery of Surgery, 6th edition. Lippincott Williams and Wilkins. 2011;2414-35.

Moore KL, Dalley AF, Agur AMR. Clinically oriented anatomy, 7th edition. Lippincott Williams and Wilkins. 2013;532-5.

Liem TK, Moneta GL, Brunicardi FC. Schwartz‟s principles of surgery, 9th edition. McGraw-Hill Education. 2019;777-89.

Zollinger RM, Ellison EC. Zollinger‟s Atlas of Surgical Operations, 9th edition. McGraw-Hill Education. 2016;360-1.

Freischlag JA, Heller JA. Sabiston textbook of surgery, 18th edition. Philadelphia, PA: Elsevier Saunders. 2002-19.

Cuschieri SA, Steele RJC, Moossa AR. Essential surgical practice, 4th edition. New York: Oxford University Press. 2001;879-923.

Somen Das. A manual on clinical surgery, eighth edition. S Das Publication. 2008;100-8.

Durkin MT, Turton EP, Scott DJ, Berridge DC. A prospective randomized trial of PIN versus conventional stripping in varicose vein surgery. Ann R Coll Surg Engl. 1999;81(3):171-4.

Sykes TC, Brookes P, Hickey NC. A prospective randomized trial of tourniquet in varicose vein surgery. Ann R Coll Surg Engl. 2000;82(4):280-2.

Pleass HC, Holdsworth JD. Audit of the introduction of hand-held Doppler and duplex ultrasound in the management of varicose veins. Ann R Coll Surg Engl. 1996;78(6):494-6.

Ryan TJ. Diseases of the skin. Management of varicose ulcers and eczema. Br Med J. 1974;1(5900):192-4.

Kent PJ, Weston MJ. Duplex scanning may be used selectively in patients with primary varicose veins. Ann R Coll Surg Engl. 1998;80(6):388-93.

Xenos ES, Bietz G, Minion DJ, Abedi NN, Sorial EE, Karagiorgos N, Endeen ED. Endoluminal thermal ablation versus stripping of the saphenous vein: Meta-analysis of recurrence of reflux. Int J Angiol. 2009;18(2):75-8.

Downloads

Published

2021-02-25

Issue

Section

Original Research Articles