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Evaluation of surgical methods and outcome of the treatment for varicose veins

Rohit N C, Manjunath M L.

Abstract
Background: Varicose veins of lower extremities are the most common peripheral vascular disease and it calls for treatment due to the morbidity and loss of working hours it causes. In advocating surgery the need to establish the need for surgery in the patient cannot be over emphasized. In the present study, the various surgical methods available and the outcome of the treatment for varicose veins in patients were evaluated.
Methods: The study was conducted in teaching & general hospital and government general hospital, attached to medical college. The various available surgical procedures were used in the present study after the informed consent from all the patients.
Results: Trendelenburg’s operation was done in 4.76% of cases, it was coupled with stripping of long saphenous and subfascial ligation of perforators 33.33% cases. In 9.52% cases with competent saphenofemoral junction, only subfascial ligation was carried out by small transverse incisions. Postoperative wound infection was seen in 20.59% of cases.
Conclusion: Our study revealed that the Trendelenburg’s operation is carried out in all the patients with saphenofemoral incompetence. Stripping of the long saphenous vein from above downwards is safer for the saphenous nerve than stripping from below upwards. Stripping of long saphenous vein till the below knee level is an adequate procedure. This can be combined with the multiple ligation or excision of varicose tributaries.

Key words: Varicose veins, Prevalence, Mode of presentation, Saphenous nerve



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