Role of tumescent fluid infiltration during saphenous stripping and ligation operation of varicose veins to reduce postoperative complications

Mahmoud, Amr A.; Elbahat, Mohamed A.

doi:10.4103/ejs.ejs_279_22

Role of tumescent fluid infiltration during saphenous stripping and ligation operation of varicose veins to reduce postoperative complications

Authors

Abstract

Objectives
Saphenous stripping and high ligation is the traditional operation for varicose veins globally. Postoperative complications like pain, subcutaneous ecchymosis, hematoma, and wound dehiscence are possible. The study assesses the role of ultrasound-guided tumescent fluid infiltration through saphenous fascia to reduce these complications.
Patients and methods
A single-arm prospective cohort study was conducted on 300 cases between February 2020 and February 2022 at Ain Shams University Hospital and Shebin El-Kom Teaching Hospital.
Results
A total of 300 patients who received saphenous stripping and high ligation operation were associated with ultrasound-guided infiltration of tumescent solution through saphenous fascial. Pain was assessed by visual analog scale score between first day and 1 week, which showed significant improvement. Ecchymosis was assessed based on the ecchymosis score between 1 and 4 weeks, with significant improvement. Subcutaneous hematoma and wound complications were also observed at 1 and 4 weeks, without significant improvement.
Conclusions
Ultrasound-guided tumescent solution infiltration along saphenous fascia possibly improves postoperative pain score and ecchymosis but not hematoma and wound complications.

Keywords