| Popis: |
BACKGROUND: Varicose veins are dilated, tortuous,elongated supercial veins that are usually seen in the legs. Prevalence of Chronic Venous Disease, as reported in studies, ranges from 2%-56% in men and from 1%-60% in women. Various treatment modalities include surgery, sclerotherapy and endo-venous occlusion by lasers or radiofrequency. Varicose veins and its dermatological complications like stasis dermatitis, ulcers, spontaneous bleeding, lipodermatosclerosis are commonly seen. However, there are no specic studies in India which is done to evaluate the role of sclerotherapy in the management of varicose veins and its skin complications. To study the difference in proportion ofOBJECTIVE: improvement in venous ulcer of other dermatological complications associated with varicose vein during 6 months following sclerotherapy when compared to those who underwent surgical treatment. The study was a prospective cohort study conducted in GeneralMETHODOLOGY: Surgery Dept.,Dr.SMCSI Medical College, Karakonam. Patients older than 18 years who have undergone sclerotherapy treatment and surgery for varicose veins with ulceration and with or without skin manifestations from March 2016 to March 2017 were considered eligible to enter the study. Sample size decided was 33 in patients undergoing sclerotherapy and 33 who underwent surgery. The difference in oedema andRESULTS: pigmentation between two groups was statistically not signicant. The difference in pain relief during the initial 4 months were found to be statistically signicant while after 4 months the difference in pain relief were same in both groups. The Trendelenberg surgeryCONCLUSION: plus perforator ligation and foam sclerotherapy showed equivalent efcacy for treating patients with varicose ulcer and other complications of varicose veins. |
