POST OPERATIVE OUTCOME OF VARICOSE VEIN SURGERY WITH SPECIAL REFERENCE TO SAPHENOFEMORAL LIGATION WITHOUT STRIPPING OF GREAT SAPHENOUS VEIN

Abstract

Varicose veins are common medical condition and change in the pattern of work in recent times in the society has increased the incidence of varicose veins.

To evaluate the outcome of the procedure in terms of post-operative recovery by studying various factors (pain, hematoma, post op. neuralgia etc.).

The proposed study will be conducted in BMCH over a period of 1 year & 6 months (March 2018 to August 2019). The patients, attending general surgery OPD and emergency for varicosity of GSV (with saphenofemoral junction incompetence, with or without perforator incompetence) and fulfilling the inclusion criteria will be studied and required investigations will be done.

A total 35 patients were subjected to routine duplex scanning and depending upon the report were operated. Saphenofemoral ligation without stripping was done in all cases with phlebectomy for perforators was done in 31 patients. At 3 months 7 patients were lost to follow up, 26 patients had better quality of life, majority of them had reduction of symptoms and achieved a satisfactory cosmetic appeal,1 had neuralgia and 2 had recurrence of symptoms. Most of them had an average 3 days post-operative stay with uneventful recovery.

Swelling along the veins is the most common presenting symptom. Venous edema is the most common complication. Surgery improves the quality of life, reduces symptoms and is associated with lesser complications. SFJ ligation without stripping with phlebectomy of perforators is an easy and efficient way to treat varicosities and has a very good cosmetic appeal and satisfactory results, both to the patient and the surgeon.