ABSTRACT
Compression bandaging is a key aspect following stripping for varicose vein surgery. With adequate compression, formation of subcutaneous hematoma can be prevented and thereby prevent revascularisation of the hematoma leading to recurrence of varicose vein. Various techniques exist to provide compression. Our modification provides an easy alternative to achieve immediate compression following stripping and is especially useful in a setting where staff is very limited. Materials required include a 10 cm width gauze bandage, 1% lidocaine with epinephrine, and number 1 silk suture in addition to the conventional tools for open varicose vein surgery. The gauze bandage is introduced along with the stripper which is passed from groin to below knee. The bandage is kept in the subcutaneous tunnel till perforator ligation, groin wound closure and application of compression bandage. The gauze bandage is removed through a small window within the compression stocking below the knee and the wound closed in a single layer. From 2005 to 2020, 410 patients underwent varicose vein surgery with the modified technique. Of these, 1 patient developed complication secondary to hematoma formation which was managed conservatively. Our modification of the varicose vein stripping technique is shown to be a cost effective and simple technique which provides immediate compression and effortlessly facilitates haemostasis till wounds are closed and compression stockings applied. in various literatures.
ABSTRACT
OBJECTIVE:To observe the efficacy and safety of aspirin combined with Dieda huayu powder in the prevention of deep vain thrombus (DVT) after great saphenous varicose vein surgery. METHODS:280 patients with great saphenous vein sur-gery were randomlt divided into control group and observation group. control group was given Aspirin enteric-coated tablet 100 mg breakfast in the next day of surgery,once a day;observation group was additionally given Diedahuayu powder 2 g to fumigate feet and non-operation place on ill leg in the next day of surgery. 7 d was a treatment course. The incidence of prothrombin time(PT), activated partial thromboplastin time(APTT),fibrinogen(Fg),platelet count and the incidence of DVT and adverse reactions af-ter surgery before and after surgery in 2 groups were observed. RESULTS:The incidence of DVT in observation group was signifi-cantly lower than control group,the difference was statistically significant(P0.05). CONCLUSIONS:Aspirin combined with Dieda huayu powder can more effectively prevent the DVT after great saphenous varicose vein surgery than only as-pirin,inhibit coagulation,with similar safety.