To evaluate the outcome of varicose vein surgery with and without venous stripping

被引:0
作者
Patel, Aditya D. [1 ]
Nangare, Nitin [1 ]
Katkar, Aakash [1 ]
机构
[1] KIMS, Dept Gen Surg, Karad, Maharashtra, India
关键词
Varicose veins with and without venous stripping; Outcome; Surgical management; PROSPECTIVE RANDOMIZED-TRIAL; MANAGEMENT;
D O I
10.47750/pnr.2022.13.S06.107
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim: The aim of this study to evaluate the outcome of varicose vein surgery with and without venous stripping.Material and methods: This research covered 100 varicose vein operations across all surgical units. This research included all varicose vein patients between the ages of 18 and 70 who also had incompetent perforators and the saphenofemoral valve. The research excluded individuals with age extremes between 18 to 70, deep vein thrombosis, concomitant short saphenous vein varicosity, venous ulcer or other skin abnormalities, and recurring varicosity. Results: The left leg was more commonly involved than the right side. The left limb was involved in 64% and the right limb was involved in 36% of patients in group 1 and 70% and 30% in group 2. 30% of patients who had venous stripping experienced hematoma development in the thigh, compared to 6% of patients who received the Trendelenburg operation alone without venous stripping. 18% of patients had haemorrhage. Due to the tissue stress that occurs during venous stripping, there is an increased risk of hematoma development in the thigh in individuals who undergo stripping. The ineffective perforators in the legs of both groups were accessed by making a transverse incision at the preoperatively indicated spot under Doppler guidance. In the days after the operation, these wounds were checked. In each group, 6% of patients had slower wound healing. On the first post-operative day, when patients were urged to walk, 70% of those who had had stripping and 90% of those who had undergone ligation alone were able to do so comfortably. It was discovered that there was increased discomfort, tissue stress, hematoma development, and bruising in the case of venous stripping.Conclusion: There is no noticeable difference between the two processes with regards to wound healing, hospital stay, or pain treatment. It would seem that the Trendelen burg technique with incompetent perforator's ligation without venous stripping is preferable to the Trendelenburg method with incompetent perforator's ligation with venous stripping, based on the observed characteristics.
引用
收藏
页码:783 / 786
页数:4
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