Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The most common symptom is being aching or heaviness in the lower limbs especially increases in the evening after prolonged standing, and is relieved by Elevation or compression hosiery. Other symptoms include ankle swelling and itching. The presence of tortuous dilated subcutaneous veins which are confined to the greater saphenous system and lesser saphenous systems in approximately 60 and 20 per cent of cases, respectively. After consulting with the statistician the sample size was set as 50 patients in the study as per the following calculation. The required sample size is 12 patients per group by using formula. But after consideration the lost to follow up and to power the study, sample size will be 25 patients per group to test the mean difference between two groups for pain reduction (VAS score). The Master (2.0) software was used to calculate the sample size. This study has been done to assess the feasibility and safety of Subfacial Endoscopic Perforator Surgery in the management of Great Saphenous Varicose Veins and to compare it with Open Subfacial Perforator Ligation over a period of 18 months by enrolling a total of 50 patients and allocating 25 patients each group for intervention on alternate allocation method and the paramaters [operative time, number of perforators ligated/clipped, post op pain at day 1, post op pain at day 3, post op pain at day 7, day of discharge, day of return to work, scar size, post op venous Doppler] being observed and put on record in the preformed protocol and analysed Present study concludes that SEPS is feasible and cost effective technique. It is comparable with OSPL in terms of pre operative diagnosis, intra operative time, number of perforators clipped/ligated, post operative pain, day of discharge, day of return to work, scar size and post op missed perforators The operative time in SEPS technique is significantly low as compared to OSPL.
How to cite this article:
S.S. Adithya and S.S. Oundararajan. A Comparative Study of Subfascial Endoscopic Perforator Surgery [SEPS] Versus Open Perforator Ligation [OSPL] in the Treatment of Great Saphenous Varicose Veins.
DOI: https://doi.org/10.36478/makrjms.2025.4.87.91
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.4.87.91