Comparing Foam Sclerotherapy Combined with Saphenofemoral /Saphenopopliteal Junction Ligation with Surgery Alone for Varicose Veins
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 3
Abstract
Background: Among chronic venous insufficiency, varicose veins are the most common manifestation affecting upto 25% of women and 15% of men [1]. While conventional surgical treatment for varicose veins has proven effective, it has fallen out of favour due to time away from work, poor cosmesis and procedural complications. Materials and Methods: The present study was conducted in the Postgraduate Department of General Surgery, Government Medical College Srinagar from February 2013 to October 2014 in 100 patients randomly divided into two groups A and B, each group having 50 patients irrespective of age and sex. Patients in group A underwent Sapheno femoral Junction Ligation and Greater Saphenous Stripping/ Multiple Ligations or Saphenopopliteal Junction Ligation and Lesser Saphenous Stripping/Multiple Ligations. Patients entitled for study in Group B underwent Foam Sclerotherapy Combined with Saphenofemoral Junction / Saphenopopliteal Junction Ligation. Results: Most of our patients in our study belonged to working age group of 20- 49 years, showing female predominance of varicose veins in our study: In group A in 48 (96%) patients the procedure was successful whereas in group B 44 (88%) had successful outcome. In group A operative time ranged from 70 to 100 min with mean of 83.72 min , S.D of 9.15 and S.E of 1.83 whereas in group B the operative time ranged from 40 to 60 min with mean of 50.96min, S.D of 6.37 and S.E of 1.27. In group A time required to return to work ranged from 4-16 days with mean time of 9.4 days and in group B it ranged from 1-8 days with mean time of 3.92 days (p<0.001). In group A 1 (2%) patient developed recurrence after procedure where as in group B 3 (6%). No major complications like pulmonary embolism, anaphylaxis, stroke occurred in our study except one case of DVT in foam group. Minor complications reported included skin pigmentation, superficial thrombophelibits, wound infections. Conclusion: Ultrasound guided sclerotherapy combined with sapheno-femoral ligation was found to be safe, very effective, less expensive, involved a shorter treatment time and resulted in more rapid recovery compared to sapheno-femoral ligation, and was cosmetically cosmetically better, with shorter duration of hospital stay compared to surgery alone. It has high patient satisfaction results and improvement in quality of life.
Authors and Affiliations
Aftab Akbar
Keywords
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- EP ID EP546124
- DOI 10.21088/nijs.0976.4747.9318.23
- Views 88
- Downloads 0
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