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

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10 – Abstract Venous Symposium Europe 2024 [back to abstract list]
AUTHOR(S): Amr Abdelghaffar Hanfy Mahmoud1, Mohamed Abdel Samie Khalek Elbahat2
Affiliations: 1. Vascular Surgery Department, Faculty of Medicine, Ain Shams University Hospitals, Cairo, Egypt. 2. Shebin
Elkoom Teaching Hospital, Egypt


BACKGROUND/AIM

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.

METHODS

Single arm prospective cohort study conducted on 300 cases between February 2020 and February 2022 at Ain Shams University Hospital and Shebin Elkoom Teaching Hospital.

RESULTS

300 patients received saphenous stripping and high ligation operation, associated with ultrasound-guided infiltration of tumescent solution through saphenous fascia. Pain was assessed by visual analog scale (VAS) score between day 1 and 1 week, which showed significant improvement. Ecchymosis was assessed based on ecchymosis score between 1 week and 4 weeks with significant improvement. Subcutaneous hematoma and wound complications were also observed at 1 week and 4 weeks without significant improvement.

CONCLUSIONS

Ultrasound-guided tumescent solution infiltration along saphenous fascia possibly improved postoperative pain score and ecchymosis, but not for hematoma and wound complications.