EFFECT OF SCLEROTHERAPY ON VARICOSE ULCERS AND OTHER SKIN COMPLICATIONS OF VARICOSE VEINS-A PROSPECTIVE COHORT STUDY.

Abstract

BACKGROUND: Varicose veins are dilated, tortuous,elongated supercial veins that are usually seen in the legs. Prevalence of Chronic Venous Disease, as reported in studies, ranges from 2%-56% in men and from 1%-60% in women. Various treatment modalities include surgery, sclerotherapy and endo-venous occlusion by lasers or radiofrequency. Varicose veins and its dermatological complications like stasis dermatitis, ulcers, spontaneous bleeding, lipodermatosclerosis are commonly seen. However, there are no specic studies in India which is done to evaluate the role of sclerotherapy in the management of varicose veins and its skin complications. To study the difference in proportion ofOBJECTIVE: improvement in venous ulcer of other dermatological complications associated with varicose vein during 6 months following sclerotherapy when compared to those who underwent surgical treatment. The study was a prospective cohort study conducted in GeneralMETHODOLOGY: Surgery Dept.,Dr.SMCSI Medical College, Karakonam. Patients older than 18 years who have undergone sclerotherapy treatment and surgery for varicose veins with ulceration and with or without skin manifestations from March 2016 to March 2017 were considered eligible to enter the study. Sample size decided was 33 in patients undergoing sclerotherapy and 33 who underwent surgery. The difference in oedema andRESULTS: pigmentation between two groups was statistically not signicant. The difference in pain relief during the initial 4 months were found to be statistically signicant while after 4 months the difference in pain relief were same in both groups. The Trendelenberg surgeryCONCLUSION: plus perforator ligation and foam sclerotherapy showed equivalent efcacy for treating patients with varicose ulcer and other complications of varicose veins.