Outcome of Conventional Surgery in the Management of Primary Varicose Vein: A Single Centre Experience

Abstract

Background: Varicose veins are a common vascular condition characterized by dilated, tortuous veins, most often affecting the lower extremities. They are caused by venous insufficiency due to valve dysfunction, leading to blood pooling and increased venous pressure. Symptoms include pain, swelling, heaviness, and in severe cases, skin changes and ulcers. Conventional surgery, particularly high ligation and stripping of the affected veins, has long been a standard treatment for primary varicose veins. Objective: To evaluate the outcome of conventional surgery in the management of primary varicose vein in perspective of recovery. Methods: This prospective observational study was conducted at the Department of Vascular Surgery, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh, from September 1, 2019, to August 30, 2020. Preoperative findings, intraoperative procedures, and postoperative outcomes were assessed and compared. Follow-up evaluations were conducted at 1 week and 1 month, and the results were analyzed. Results: A total number of 40 who patients underwent conventional open surgery were included in the study. SFJ incompetence was observed in 62.5% of cases, and no deep vein thrombosis was detected. Mean duration of operation (min) time was 2 32.14 ± 6.18 mins. Mean duration of hospital stay was 30.29 ± 6.82 hrs. The surgery was primarily unilateral (80.0%), with minimal complications such as hyperpigmentation (32.5%) and hematoma (20%) resolving over time. Pain decreased significantly, and 92.5% of patients reported no pain by the first month, with an average return to work within 2.45 days. Conclusion: The study emphasizes that conventional surgery is an effective and relatively minimally invasive option for treating primary varicose veins. Patients experienced notable improvements, minimal postoperative complications, fast recovery, and an early return to work. These results highlight the effectiveness of conventional surgery in managing primary varicose veins.