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TITLE:

EFFECT OF AGE, GENDER AND TYPE OF VARICOSITY ON THE POST-OP PAIN SCORE AFTER 7 DAYS COMPRESSION DRESSING DONE AFTER VARICOSE VEIN SURGERY

AUTHORS:

Asna Safdar, Tehreem Hannan, Usman khan

ABSTRACT:

Introduction: Great saphenous vein incompetence is associated with 80% of all significant lower limbs varicosities. It is the most common cause of chronic venous insufficiency. Associated symptoms range from mild conditions such as fatigue, heaviness, and itching to more serious conditions. Objective: 1. To determine the effect of age, gender and type of varicosity on the post-op pain score after 7 days compression dressing done after varicose vein surgery. 2. To compare the post-op pain score of the compression dressing done for two days versus seven days after varicose vein surgery 3. To determine if the duration of compression dressing after varicose vein surgery has influence on pain Study Setting: At Surgical floor, Mayo Hospital, Lahore. Duration Of Study: Jan, 2019 to June, 2019 Study Design: Randomized Controlled Trial Subjects & methods: Group-A wore compression dressing for 2 days after surgery and Group-B wore compression dressing for 7 days after surgery. Stratification of pain score was done against young and old age, both gender and grades of varicose veins. Post stratification t-test was applied to see the effect of these stratified variables on the outcome variable. A p-value ≤0.05 was considered significant. Results: The mean age of patients in group A was 33.4±9.6 years and in group B was 35.4±9.9 years. Mean pain score 4.5±1.2 was noted in patients in Compression dressing for 2 days) while 2.9±0.8 in patients in Compression dressing for 7 days with p-value of 0.0001 which is statistically significant. By stratification of mean pain score in both groups with respect to gender, it was more significant in females (p=0.0001), young age, (p=0.0001). Conclusion: Prescribing compression stockings for longer than 2 days after Trendelenburg’s procedure leads to reduced pain and improved physical function during the first week after treatment. And outcome was better in females and young patients. Key Words: Trendelenburg’s procedure, Great saphenous vein, Compression stockings.

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