Clinical presentation and outcome of stripping in varicose veins
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Varicose vein is a chronic morbid condition. Varicose veins can cause a variety of symptoms of discomfort in the legs.Most people seek medical advice only after complications like pigmentation, eczema, lipodermatosclerosis and ulcer development. Stripping is supported by evidence from randomised controlled trials and produce high percentage of good results if meticulously performed. This prospective study was conducted to study the clinical presentations of lower limb varicose veins and outcome of stripping in varicose veins. Material and Methods: Patients above 18 years of age with symptoms of varicose vein such as ulcerations, phlebitis, bleeding, aching, skin changes or eczema, heaviness and cosmetic disfigurement were managed with stripping and other surgical procedures. The patients were followed up and final outcome evaluated. Results: Majority of the patients presented with dilated veins (88%) followed by hyperpigmentation (68%) and pain (58%).Duplex ultrasound examination showedboth saphenofemoral junction and perforator incompetence in 44% patients. 42% of cases underwent Trendelenberg flush ligaton with stripping of long saphenous vein and perforator ligation. 24% of cases underwent Trendelenberg flush ligation with stripping of long saphenous vein and 20% of patients underwent perforator ligation alone.Only 3 patients developed early complication like superficial wound infection in the form of a wound dehiscence. Discussion: Though newer techniques are available, Trendelenberg flush ligaton with stripping of long saphenous vein has given good results in our set up.If cases are selected properly with good operative technique the complications are negligible.
Authors and Affiliations
M Ganesan, Avinash Avinash, Vinoth Kumar
Keywords
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