::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

SHORT TERM VS LONG TERM COMPRESSION DRESSING IN VARICOSE VEIN MANAGEMENT AFTER SURGERY

AUTHORS:

Urwa Yaqoob, Haafizah Anam Saeed, Rimsha Yousaf

ABSTRACT:

Introduction: Great saphenous vein (GSV) incompetence 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 such as skin discoloration and leg ulceration. Over the last years, significant advances in GSV ablation using percutaneous techniques have emerged, including endovenous laser ablation (EVLA). Objective: To compare the outcome of the compression dressing for two days vs. seven days after varicose vein surgery Study Setting: The study was conducted at Surgical floor, DHQ Hospital, Faisalabad. Duration Of Study: March, 2019 to September, 2019. Study Design: Randomized Controlled Trial Subjects & Methods: A total of 60 patients were admitted from outpatient department fulfilling the inclusion criteria after the approval of ethical committee of hospital. Group-A wore compression dressing for 2 days after surgery and Group-B wore compression dressing for 7 days after surgery. All patient received 1gm paracetamol I/V 8 hourly followed by tab. paracetamol 500mg P/O 8 hourly. Then the outcome of compression dressing was analysed in form of mean post-operative pain. Mean Pain score was assessed on 1 week. Data were entered in SSPS v23.0. Stratification of pain score was done against age, gender and grades of varicose veins. Comparison of two groups was done by applying t-test. A p-value ≤0.05 was considered significant. Results: Total 60 patients with Primary varicose vein were enrolled in this study. Patients were divided in two groups i.e. Group-A (Compression dressing for 2 days) and Group-B (Compression dressing for 7 days). 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 group-A (Compression dressing for 2 days) while 2.9±0.8 in patients in group-B (Compression dressing for 7 days) with p-value of 0.0001 which is statistically significant. 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. Key Words: Trendelenburg’s procedure, Great saphenous vein, Compression stockings.