Varicose vein surgery; a day case procedure. | [Professional Medical Journal • 2004]

Author(s):

1. Gulzar Ahmad Malik: Department of Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan

2. Muhammad Ishaque Khan: Department of Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan

3. Muhammad Muneer: Department of Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan

4. Gulzar Ahmed: Department of Surgery, Quaid-e-Azam Medical College (QAMC), Bahawalpur, Pakistan

5. Tariq Mahmood Rehan: Department of Surgery, Quaid-e-Azam Medical College (QAMC), Bahawalpur, Pakistan

6. Muhammad Rashid Choudhary: Department of Surgery, Quaid-e-Azam Medical College (QAMC), Bahawalpur, Pakistan

Abstract:

Objectives: To evaluate the epidemiological aspects and feasibility of varicose veins surgery as a day case procedure in all patients of primary varicose veins and to identify the risk factors for hospital admission. Design: Interventional with prospective observational study. Place & Duration: This study was conducted from Nov 1999 to Oct 2003 at the department of Surgery B V Hospital Bahawalpur. Patients & Methods: Fifteen patients, 1 female and 15 male of varicose veins attending the surgical outdoor fulfilling the inclusion criteria and requiring varicose veins surgery underwent their procedure performed as a day case. A standard technique of saphenofemoral ligation with stripping of the long saphenous vein to just below knee and multiple stab avulsions of varicosities after subfascial ligation of the perforators was performed. All cases were reviewed postoperatively for eight weeks. Results: All fifteen patients underwent varicose vein surgery, of whom 33% had bilateral varicosities and all had primary varicose veins. The common presentation of all patients (80%) was heaviness, leg fatigue and dull pain in the calves during walking. Six (40%) patients had hyper-pigmentation with leg edema. 33.3% varicose ulcers and 13.4% bleeding varicosities with dermatosclerosis or / and eczematoid dermatitis while the remaining 13.4% patients had asymptomatic varicosities. Three patients (20%) developed postoperative complications. Ten 66.67% patients were discharged on the day of surgery while remaining 5 patients (33.34%) required admission due to minor anaesthetic complications and patient`s preference, among whom two (13.4%) required admission for more than 24 hours. The need for over night admission was associated with the age of the patients, bilateral varicose vein surgery.

Page(s): 121-129

DOI: DOI not available

Published: Journal: Professional Medical Journal, Volume: 11, Issue: 2, Year: 2004

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