Abstract Issue

Volume 12 Issue 3 ( July-September ) 2023

Original Articles

To study the effectiveness and safety of polidocanol sclerotherapy and cyanoacrylate adhesive embolization in patients of varicose insufficiency in an OPD setup- An observational retrospective study
Dr. Parneet Singh Brar, Dr. Saurabh Dhanda, Dr. Pushpinder Singh, Dr.Deepak Kumar Parashar

Introduction: Insufficiency of varicose veins ranges from dilated veins to severe chronic venous stasis skin changes and venous ulceration. As a result, there is associated variable morbidity. Treatment options range from surgical (stripping, venesection, and perforator ligation) to radiofrequency ablation, cyanoacrylate adhesive, and foam sclerosing. Aims: Tocom parefoamsclerotherapy (by Polidoca cyanoacry late adhesion sodm tetradecyl sulfatesc lerotherapy for the treatment of patients with symptoms of persistent or recurrent lower limb venous insufficiency due to incompetent perforators to assess the feasibility, efficiency, and safety of an outpatient procedure. Materials and Methods :At the Adesh Institute of Medical Sciences and Research, an observational retrospective study was undertaken on 100 consecutive patients with primary varicose veins. To rule out secondary causes, all patients of varicose veins presenting to the OPD were treated to a Doppler investigation. The study comprised patients hospitalized with varicose veins who met the inclusion and exclusion criteria. Results:In our current study, 35 (35.0%) of the 100 patients had Long saphenous veins, 3 (3.0%) had Short saphenous veins, and 5 (5.0%) had solely perforator veins. 57 (57.0%) patients had Long saphenous + perforator in Varicose Systems, which was statistically significant (P.00001), and out of 26 patients, 10 (46.20%) patients had Hematoma, 5 (15.30%) patients had Neuritis, 4 (30.80%) patients had Infection, and 7 (7.70%) patients had Recurrence within 6 months of surgery after the operation, but this was not statistically significant (p=0.09692). Conclusion:Varicose veins appear during the third and fifth decades of life. Occupations that require extended standing and vigorous physical exertion are more likely to develop varicose veins. The most prevalent presenting symptoms were large swellings in the lower limbs and discomfort.

 
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