مقايسه دو روش جراحي برش وريدي سرپايي و خارج كردن در درمان واريس وريدي

Comparison of ambulatory phlebectomy and stripping, methods in the treatment of venous varices

Introduction: The two therapeutical methods, ambulatory phelebectomy and stripping, used in the treatment of venous varices seem to have different duration of admission and complications. In this study the variables which seemed to be different between these two approaches have been compared with each other. Materials and methods: In an analytic cross - sectional investigation, 43 patients were operated for venous varices with stripping and ambulatory phlebectomy were studied. Gender, age, type of operation, post- operative complications (hematoma , pain and paresthesia ), duration of admission and the duration of operation were recorded for all subjects. Results: Out of 43 patients, 19 were operated by ambulatory phlebectomy and the other by stripping methods. There was no meaningful difference in the groups with respect to the sex. There was a meaningful difference between both groups with respect to hemetoma (5.30/0 versus 0%).The average duration of admission and operation in the stripping was virtually more than the ambulatory phlebectomy. Discussion: The duration of operation, hematoma, pain and paresthesia was proportionally more in the stripping procedure than the ambulatory phlebectomy. Thus, ambulatory phlebectomy can be more helpful in the treatment of venous of limbs.