DOI: 10.36347/sjams.2019.v07i02.040

Pages: 631-635

Varicose veins are defined as dilated, tortuous, subcutaneous veins ≥3 mm in diameter measured in the upright position with demonstrable reflux. They do not threaten life and are seldom disabling, but it causes a considerable demand on medical care. It is the cause of morbidity and loss of precious work hours and a significant financial burden on the health‑care system. The aim of this study was to evaluate clinical profile and compare two treatment modalities like, conventional surgery (CS) and ultrasound-guided foam sclerotherapy (UGFS). This study was conducted at Department of surgery, Kakatiya medical college, Warangal after obtaining permission from hospital ethics committee. Hundred adult patients with a symptomatic primary incompetent great saphenous vein (GSV) in which 70 were males and 30 were females. Maximum patients were in age group of 40 to 50 years. The majority of the patients were overweight and obese, had a history of prolonged standing. Most of patients had unilateral lower limb varicose veins with C2 and C3 clinical classification. After 1 year, the occlusion rate of UGFS was significantly lower than CS. In both groups, the C of the CEAP-classification decreased significantly after treatment, and there was no difference between groups. After 1 year, the anatomic success rate was highest for CS and UGFS. The complication rate was low and comparable between treatment groups. This study concludes that both the conventional surgery and ultrasound guided foam sclerotherapy were good for varicose veins. Anatomic success was more in conventional surgery.