Comparison of ligation versus ligation with stripping of long Saphenous vein in varicose veins of lower limb

Abstract

Aim: To compare the incident of complications after ligation versus ligation with stripping of long saphenous vein in the treatment of primary varicose veins of lower limb. Materials and methods: The prospective randomized study is based on analysis of 80 cases of primary varicose veins of long saphenous vein or without perforator in competence from the period of 1 year in department of general surgery, Patients are divided into Group-L 40 patients for simple ligation and group-LS 40 patients for ligation with stripping of long saphenous vein. Results: Similar significant difference with respect to the surgical time, amount of bleeding and duration of hospital stays was observed in Group-LS as compared to group-L (P < 0.01). Hematoma and wound infection is not significant in group-L compared to group –LS . Limb edema is significant in group-LS compared to group –L . In the group that underwent ligation alone, thigh perforators were present in 62.5% cases whereas in the group that underwent ligation combined with stripping thigh perforators were present in 57.5 % of cases which is significant. After surgery residual long saphenous vein reflux was present in 37.5% cases in the group in which ligation alone was done and residual thigh perforators were identified in 33.3% of cases which is significant ,whereas in the group which underwent ligation combined with stripping of the thigh segment of long saphenous vein residual reflux was present in 21.4% cases and no residual thigh perforators were identified which is significant. Conclusion: Ligation with stripping for patients with varicosities of the lower extremity with a shorter surgical time, fewer bleeding, duration of hospital stays and residual perforator .