A Prospective Randomised Study Comparing Evlt With Open Perforator Ligation and Stripping for Varicose Vein

Abstract

INTRODUCTION Varicose veins are a common problem that affects approximately 25% of Indian adults. The condition is most often caused by great saphenous vein (GSV) insufciency. varicose veins may be asymptomatic, common associated problems include pain, itching, night cramps, fatigue, heaviness, and in a proportion of patients, chronic venous insufciency characterized by ankle edema, eczema, hyper pigmentation, and leg ulceration. AIM AND OBJECTIVES To compare between endovenous laser therapy (EVLT) with open perforator ligation and stripping for varicose vein in term of post operative complication and recurrences of symptoms MATERIAL AND METHODS The study was conducted in the department of general surgery, LLR & Associated Hospitals, GSVM Medical College, and Kanpur from December 2019 to October 2021 on all patients of varicose vein who would be admitted in our ward. Criteria for selection of patients were based on varicose veins caused by incompetence of SFJ or SPJ with GSV or SSV as demonstrated by bidirectional continuous wave Doppler and duplex US imaging and Age at least >18 yrs. RESULT Varicose vein mostly occur due to involvement of saphenofemoral junction leading to great saphenous vein dilation. In our study maximum no. of patients were found in 35-45 age group with male prevalence(93.11%) . Most no. of patients presented with complaints of dilated veins. Right limb involvement was most prevalent (81.48%) In our study bruise ,hematoma , post op infection , post op parasthesia was less common in EVLT group than stripping and ligation ( p value- < .005). hospital stay also less in EVLT group. CONCLUSION EVLT is better than stripping and ligation in term of post procedure complication and hospital stay & time to return the routine normal activity.