A CASE STUDY OF MODIFICATION OF LINTONS PROCEDURE COMPARED TO CLASSICAL PROCEDURES FOR VARICOSE VEINS SURGERY

Dr. K. Suhas; Dr. Ayyar Srinivas Mahesh; Dr. N. Sudhir Varma; Dr. O. Ravi Chandra Reddy

Volume : VI, Issue : I, January - 2017

A CASE STUDY OF MODIFICATION OF LINTONS PROCEDURE COMPARED TO CLASSICAL PROCEDURES FOR VARICOSE VEINS SURGERY

Dr. K. Suhas, Dr. Ayyar Srinivas Mahesh, Dr. N. Sudhir Varma, Dr. O. Ravi Chandra Reddy

Abstract :

Varicose veins are caused by poorly functioning valves in the veins and decreased elasticity of the vein wall, allowing pooling of blood within the veins and their subsequent enlargement. It is the common pathology affecting between 25% and 40% of general population. Sapheno–Femoral junction flush ligation and stripping of Great Saphenous vein remains the standard of surgical care in many centres. For incompetent perforators, Lintons procedure was done previously with long posterior incision, which is obsolete due to its complications. Duplex Ultrasound marked perforator ligation is standard technique followed nowadays. Although it is a superior procedure and has low recurrence rates it is still radiologist dependent. Our procedure is similar to Lintons but less invasive, thus avoiding complications of classical Lintons procedure. With the advent of many minimally invasive procedures surgery for varicose veins is less encouraged. But in a tertiary centre like ours surgery is the most cost effective and affordable treatment. This is a prospective case study of 50 cases to compare the superiority of our technique (Modification of Lintons procedure) with the usually performed duplex ultrasound marked subfascial ligation of perforators procedure for perforator incompetence.