Abstract

Dr. Ihssan Ali Hais Elamery* and Dr. Maysa Edan

ABSTRACT

Objectives: Varicose veins are common, may be caused by poorly functioning valves in the veins, and decreased elasticity of the vein wall, allowing pooling of blood within the veins, and their subsequent enlargement. Aim: The aim of this study was to detect whether routine stripping of the complications of varicose vein surgery and the ways to prevent them. Materials and methods: The study was designed as a 5-year, clinical and duplex scan follow-up examination of a group of patients who undergo varicose vein surgery and their post-operative complications. The study was conducted in the vascular unit of imam Hussein medical city. Two hundred ninety six patients (317 legs) with varicose veins were randomized, and their complications was analyzed with the ways to prevent them from occurring in the future. Randomized controlled trial. All operations done by a consultant vascular surgeon. Five year follow-up. Results: Two hundred ninety six patients, 317 legs undergoing varicose vein surgery stripping and avulsion, 204 female and 92 male, the results two major complications one case amputated leg and the other deep vein thrombosis with 10 minor complications including (36.82%) hematoma, (4.05%) skin ecchymosis, (6.4%) wound infection, (2.03%) wound dehiscence, (10.47%) parasthesia, (2.7%) recurrence, (4.7%) persistent pain, (1.01%) leg swelling and (7.4%) Complications of spinal anesthesia. Conclusion: Although the varicose vein surgery is safe with minor complications but major complications can occur and may lead to loss of limb or life.so it is important to take a big carful when to do it specially in dealing with saphenofemoral and saphenopopliteal junctions.