DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192813

Effect of saphenous vein space packing in conventional varicose vein surgery

Thrishuli P. B., Shashank K. J., Divakar S. R., Akshata Kamath

Abstract


Background: Varicose veins are common. The prevalence has been variously reported from as little as 2% to over 20% in population studies. Management of varicose vein disease has changed drastically over the past decades. Since its introduction, surgery has gone through several stages of evolution until the method of ligation with stripping eventually became and remained the standard for a long time. The objective was to study the effect on Saphenous vein space packing in conventional varicose vein surgery on intra-operative bleeding and post-operative patient recovery.

Methods: A prospective comparative study was conducted in JSS Hospital, Mysuru from August 2016 to October 2018. A total of 60 patients were selected for the purpose of the study based on the inclusion and exclusion criteria. The patient was passed on post operative day 2, 4, 7 and 30. The study population was divided into 2 groups, Group 1: 30 patients undergoing varicose vein surgery with packing and Group 2: 30 patients undergoing traditional varicose vein surgery without packing.

Results: On pre-operative evaluation of GSV diameter, the mean diameter was found to be 8.20±2.3 mm in the conventional group and 7.30±1.82 mm in vein packing technique. The pain was found to be more in conventional group than Saphenous vein packing technique and score was found to statistically significant between the two groups on day 2 and 4.

Conclusions: Saphenous vein space packing is an easy, economical and effective way of reducing post-operative pain in conventional varicose vein surgery.


Keywords


Varicose veins, Stripping, Pain, Packing, Saphenous vein

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References


Travers JP, Rhodes JE. Post-operative limb compression in reduction of haemorrage after varicose vein surgery. Ann Royal Coll Surg Eng. 1993;75:119-22.

Iafrati MD, O’Donnell TF. Varicose veins: surgical treatment. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: 154.

Malhotra SL. An Epidemiological Study of Varicose Veins in Indian Railroad Workers from the South and North of India, with Special Reference to the Causation and Prevention of Varicose Veins. Int J Epidemiol. 1972;1:177-83.

Wright. The prevalence of venous disease in a west London population. In: Davy A, stemmer R, Eds. Phlebology 89. Paris: libbey Eurotext. 1989: 176-178.

Widmer LK. Peripheral venous disorders prevalence and socio-medical importance. Bern: Hans Huber. 1978:1-90.

Callam, M. J. Epidemiology of varicose veins. Br J Surg. 1994;81;167–73.

Leipnitz G, Kiesewetter P, Waldhausen P, Jung F, Witt R, Wenzel E. Prevalence of venous disease in the population: first results from a prospective study carried out in greater Aachen. Phlebology. 1989;89:169-71.

Potula VS. Varicose vein surgery stripping method compared to radio frequency ablation. Int Surg J. 2018;21;5(5):1807-11.

Dur AH, Mackaay AJ, Raurweda JA. Duplex assessment of clinically diagnosed venous insufficiency. Br J Surg. 1992;79:155-61.

Campbell WB. Venous ulceration. J Dermatol Surg Onco. 2003;19:764.

Hamel-Desnos CM, De Maeseneer M, Josnin M, Gillet JL, Allaert FA, Lausecker M, et al. Great Saphenous Vein Diameters in Phlebological Practice in France: A Report of the DIAGRAVES Study by the French Society of Phlebology. Eur J Vascular Endovascular Surg. 2018;10:19.

Figueiredo M, Araújo S, Barros Jr N, Miranda Jr F. Results of surgical treatment compared with ultrasound-guided foam sclerotherapy in patients with varicose veins: a prospective randomised study. Eur J Vascular Endovascular Surg. 2009;38(6):758-63.