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

Authors

  • Rohit NC Department of General Surgery, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka
  • Manjunath ML Department of Physiology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka

Keywords:

Varicose veins, Prevalence, Mode of presentation, Saphenous nerve

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.

 

References

Deodhar SD. Varicose veins. Indian J Med Sci. 1963;19:431.

Cockett FB. The pathology and treatment of venous ulcers of the leg. Br J Surg. 1955;43:260.

Wedell JM. Varicose veins: a pilot survey. Br J Pr Soc Med. 1969;23:179.

Fegan WG. Continuous compression technique of injecting varicose veins. Lancet-2. 1963;2:109-12.

Kirstner RL. Surgical repairs of the incompetent femoral vein valve. Arch Surg. 1975;110:1336.

Burnand KG, O’Donnel TF, Thomas ML, Brows NL. The relative importance of incompetent communicating veins in the production of varicose veins and venous ulcers. Surgery. 1977;82:9-14.

Linton RR. The communicating veins of the lower leg and the operative technique for their ligation. Ann Surg. 1938;107:582.

Huse JB, Nobseth DC, Bush HL, Widrich WC, Johnson WC. Direct venous surgery for venous valvular insufficiency of the lower extremity. Arch Surg. 1983;118:719-23.

Vaidyanathan S. Subfascial ligation of incompetent ankle perforators (Lintons Flap procedure) in venous ulcers and stasis dermatitis. Indian J Surg. 1985;47:495-504.

Burkitt DP. Varicose veins, deep vein thrombosis and hemorrhoids, epidemiology and suggested etiology. Br Med J. 1972;2:556.

Linton RR. The post-thrombotic ulceration of the lower extremity: its etiology and surgical treatment. Ann Surg. 1953;138:415.

Grunjobust W. Injuries to saphenous nerve following operation for varicose veins. Surg Gynecol Obstet. 1964;119:359.

Hobbs JJ. Cox SJ, Wellwood JM, Martin A. Saphenous nerve injury caused by stripping of long saphenous vein. Br Med J. 1974;1:415.

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Published

2017-01-07

How to Cite

NC, R., & ML, M. (2017). Evaluation of surgical methods and outcome of the treatment for varicose veins. International Journal of Research in Medical Sciences, 3(4), 973–976. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1419

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Section

Original Research Articles