Complications and outcome of surgical treatment of perforators of varicose veins by hook phlebectomy and Cockett and Dodd method
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 3
Abstract
Background: There are various surgical treatment options for treatment of perforators of varicose veins including Cocket and Dodd operation, which includes subfacial ligation of perforators and Hook phlebectomy, in which varices are removed through very small incisions in the leg using a hook. Aim: To complications and outcome of surgical treatment of perforators of varicose veins by Hook phlebectomy and Cockett and Dodd method. Material and Methods: A total of 60 patients with primary varicosities of the great or small saphenous system with perforator incompetence of the leg were grouped into two equal groups. 30 patients were treated with hook phlebectomy and 30 with Cockett and Dodd method. Results: The mean post-operative day of discharge in Hook phlebectomy group was 1±0 and in Cockett and Dodd group was 3.967±0.718. In Hook phlebectomy group, 20 (66.7%) patients had recurrence and in Cockett and Dodd group, 25(83.3%) patients didn’t have recurrence. In Cockett and Dodd group, none of the patients had viscosities and wound infection. Conclusion: Cockett and Dodd procedure of open subfascial perforator ligation has an important role in treatment of perforator ligation with decreased incidence of wound infection and recurrence than Hook Phlebectomy procedure in treatment of patients with primary varicose veins with perforator incompetence.
Authors and Affiliations
S Maharaja, S P Ilango
Keywords
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- EP ID EP526514
- DOI 10.26611/106932
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