Publication

Abstract : Background: Management of varicose veins in present times has multiple modalities, each with its own pros and cons. This is a comparative study between the conventional Trendelenburg procedure and the newer Endovenous laser therapy(EVLT) . Materials and Methods: This is a prospective, comparative study of 40 patients each in two treatment arms conducted between July 2009 to January 2012 in the department of General Surgery. These patients were observed for post operative morbidity, hospital stay and recurrence. Results: In Trendelenburg group: 27.5%(11 of 40) patients developed haematoma, 47.5% (19 of 40) patients developed infection, 10% (4 of 40) patients developed phlebitis, 10%(4 of 40) patients developed paraesthesia. Mean hospital stay was 3.13 days, mean pain score was 3.08. In EVLT group : 7.5%(3 of 40) patients developed hematoma, 2.5%(1 of 40) patient developed infection, 7.5% (3 of 40 ) patients developed phlebitis, 5% (2 of 40) patients developed paraesthesia, 5% (2 of 40) patients developed skin burns. Mean hospital stay was 4.85 days, Mean pain score was 6.75 (VA scale). No recurrence in both groups. Conclusion: EVLT procedure had better results in terms of immediate postoperative morbidity like hematoma, infection; less hospital stay and less pain when compared to conventional surgery.