The Effect of Varicose Vein Surgery on Varicose Ulcers

Despite of the growing trend of varicose ulcers, the effect of vascular surgery is not clear exactly on the treatment of these ulcers. The present study aimed to compare the clinical features of patients before and after the varicose vein surgery.

In a cross-sectional study during 2016, the outcomes of 50 patients who were referred to Alzahra Hospital in Isfahan, Iran, for varicose veins surgery were examined before and after surgery in terms of patients’ opinions, the mean of Vancouver score, and ulcer complications.

The mean Vancouver score was 7.9 ± 2.0 and 5.1 ± 1.5 before and after surgery, respectively. The relative frequency of wound healing was 35.1 ± 19.2 percent, postoperatively. The mean score of varicose ulcer was 9.20 ± 0.67 one week before the surgery, and 4.76 ± 1.33 and 2.50 ± 0.74, one week and one month after it, respectively. Mean Vancouver score before and after treatment was different statistically (P < 0.001). The wounds and varicose veins complications were reduced statistically (P = 0.015).

The mean Vancouver score, ulcer complications, and varicose ulcers decreased after surgery. Surgery was most effective in patients with active edema or scarring, while those in multiple complications were less likely to recover.