DOI: http://dx.doi.org/10.18203/2349-2902.isj20210517

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

V. Balasubramaniam

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.


Keywords


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

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