STUDY OF CLINICAL OUTCOMES OF SUBFASCIAL PERFORATOR LIGATION SURGERY IN PERFORATOR INCOMPETENCE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 14
Abstract
BACKGROUND Chronic venous insufficiency presents with a spectrum of clinical features ranging from pain or heaviness of affected limbs to non-healing ulcers over the lower limbs and usually require some form of surgical intervention, performing direct perforator vein division preferably by subfascial endoscopic perforator ligation surgery for perforator incompetence, as despite aggressive conservative therapy including compression, lifestyle modification and venotonic medications which are of high cost treatment with increased risk of increasing symptoms. MATERIALS AND METHODS A prospective longitudinal clinical study of 30 patients selected by systematic sampling method from November 2014 to September 2015 at our institution was conducted to determine the results of subfascial endoscopic perforator vein surgery (SEPS) in perforator incompetence. RESULTS For venous clinical severity scoring pre operatively and after 3 weeks post-surgery, the mean for VCSS pre-operatively was 6.66 and a standard deviation of 2.399. The T value was calculated and was found to be 4.9321 and p value of 0.00001(p value less than 0.05 is significant). Similarly for the cases with active ulcer, the size assessment pre-operatively and post-SEPS was again analysed using student t test and the mean ulcer size prior to surgery was found to be 3.3 and standard deviation of 1.984. The T value was calculated and was found to be 1.789009 and a p value of 0.04 (p value less than 0.05 is significant). CONCLUSION Our study concluded that favourable and significant ulcer healing rate with improvement and reduction in clinical severity suggests that SEPS plays an important role in surgical management of advanced stages of venous insufficiency.
Authors and Affiliations
Vasuki Rajam, Kalapana Devi Agirimangalam Kathaperumal, Usha Hemant, Narayanan Rajavelu
Keywords
Related Articles
- EP ID EP214220
- DOI 10.18410/jebmh/2017/156
- Views 97
- Downloads 0
UNDIAGNOSED THANATOPHORIC DYSPLASIA AT TERM- OBSTETRICIAN’S DILEMMA!!- A CASE REPORT
BACKGROUND Thanatophoric Dysplasia (TD) is a lethal skeletal dysplasia. Prenatal diagnosis of TD is usually accomplished by Ultrasonography (USG). However, it is not always possible to distinguish TD from other skeletal...
ISOBARIC ROPIVACAINE 0.75%, WITH AND WITHOUT INTRATHECAL DEXMEDETOMIDINE AS AN ADJUVANT, IN LOWER LIMB SURGERY- A COMPARISON
BACKGROUND Spinal Anaesthesia is the most common approach which is used for lower limb surgery. Ropivacaine is the preferred compound in comparison of Bupivacaine as firstly it is enantiomer specific which shows less car...
EVALUATION OF INVOLVEMENT OF DIFFERENT SITES OF BRAIN BY MRI IN 1-5 YEAR AGE GROUP CHILDREN WHO SUFFERED FROM HYPOXIC ISCHAEMIC ENCEPHALOPATHY IN THE NEONATAL PERIOD
BACKGROUND Perinatal cerebral hypoxic–ischemic insults result in neonatal brain injury with serious long-term neuro developmental sequelae. Magnetic resonance imaging (MRI) of the brain is an ideal and safe imaging modal...
OCULAR COLOBAMATA IN A FAMILY
AIM: To identify the proportion of cases affected in a family with ocular colobamata. MATERIAL: Ocular colobomata present in a family METHOD: Visual acuity, Slit lamp examination, Ophthalmoscopy, Fundus Photography, B-Sc...
COMPARISON OF POSTERIOR IRIS CLAW AND SULCUS SUPPORTED INTRAOCULAR LENSES IN TERMS OF VISUAL OUTCOME AND COMPLICATIONS IN A TERTIARY HOSPITAL
BACKGROUND There are several alternatives for the surgical treatment of Aphakia (scleral fixation, intrascleral fixation, angle supported anterior chamber, ciliary sulcus supported, iris fixation intraocular lenses). Eac...