• Aamir Khan Department of Surgery, Khyber Teaching Hospital, Peshawar
  • Shehdost Department of Medicine, Bolan Medical College, Quetta
  • Naima Shakeel Department of Physiology Post-Graduate Medical Institute / Ameer- ud- Din Medical College/ General Hospital Lahore
  • Ahmad Rafique Department of Surgery, THQ Hospital Jaranwala




Trendelenburg’s procedure, Great saphenous vein, Compression stockings.


Background: Incompetence of the great saphenous vein (GSV) is a global issue and the most prevalent cause of chronic venous disease of leg. Clinical manifestations range from moderate to severe, including tiredness, heaviness, and irritation, as well as hyperpigmentation and leg ulcers. Significant advancements in GSV ablation employing percutaneous methods, such as endovenous laser ablation, have been made in recent years. (EVLA). Objective of the study is to compare the outcome of the compression dressing for two days vs. seven days after varicose vein surgery. This case control study was performed on the Surgical floor, Mayo Hospital, Lahore, from September 15 to March 15, 2020. Methods: We took a sum of 60 patients admitted from the outpatient department fulfilling the inclusion criteria after the approval of the ethical committee of the hospital. Group-A wore compression dressing for 2 days after surgery and Group-B wore compression dressing for seven days after surgery. Each patient received 1gm paracetamol I/V 8 hourly followed by tab. paracetamol 500mg P/O 8 hourly. Then the outcome of compression dressing was analyzed in form of mean postoperative pain. The mean pain score was assessed on 1 week. Data were entered in SSPS v23.0 and stratification of pain score was done against age, gender, and grades of varicose veins. A comparison of the two groups was done by applying a t-test. A p-value ≤of 0.05 was considered statistically significant. Results: We took a sum of 60 patients with Primary varicose veins based on their eligibility for this study. Patients were divided into two groups, i.e., Group-A (Compression dressing for 2 days) and Group-B (Compression dressing for 7 days). Average ages of patients in group A were 33.4±9.6 years and in the group, B was 35.4±9.9 years. A mean pain score of 4.5±1.2 was noted in patients in group-A (Compression dressing for 2 days) while 2.9±0.8 in patients in group B (Compression dressing for 7 days) with a p-value of 0.0001 which is statistically significant. Conclusion: When compression stockings are used for more than two days after the Trendelenburg’s procedure is done, it can lead to lesser pain and enhanced physical activity in the first week post operatively.


DePopas E, Brown M. Varicose Veins and Lower Extremity Venous Insufficiency. Semin Intervent Radiol 2018;35(1):56–61.

Ghosh SK, Al Mamun A, Majumder A. Clinical Presentation of Varicose Veins. Indian J Surg 2021;25:1–8.

Radhakrishnan N, George D, Jayakrishnan R, Sumi S, Kartha CC. Vein Size and Disease Severity in Chronic Venous Diseases. Int J Angiol 2018;27(4):185–9.

Kim KY, Kim JW. Early experience of transilluminated cryosurgery for varicose vein with saphenofemoral reflux: review of 84 patients (131 limbs). Ann Surg Treat Res 2017;93(2):98–102.

Rabe E, Partsch H, Hafner J, Lattimer C, Mosti G, Neumann M, et al. Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement. Phlebology 2018;33(3):163–84.

ACP 32nd Annual Congress in Nashville,TN, USA, November 8–11, 2018. Phlebol J Venous Dis 2018;33(1_Suppl):3–65.

Weller CD, Buchbinder R, Johnston RV. Interventions for helping people adhere to compression treatments for venous leg ulceration. Cochrane Database Syst Rev 2016;3(3):CD008378.

Bakker NA, Schieven LW, Bruins RM, van den Berg M, Hissink RJ. Compression stockings after endovenous laser ablation of the great saphenous vein: a prospective randomized controlled trial. Eur J Vasc Endovasc Surg 2013;46(5):588–92.

Sarma N. Guidelines and recommendation on surgery for venous incompetence and leg ulcer. Indian Dermatol Online J 2014;5(3):390–5.

Tischer TS, Oye S, Lenz R, Kreuz P, Mittelmeier W, Bader R, et al. Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study. BMC Musculoskeletal Disord 2019;20(1):161.

Health Quality Ontario. Compression Stockings for the Prevention of Venous Leg Ulcer Recurrence: A Health Technology Assessment. Ont Health Technol Assess Ser 2019;19(2):1–86.

Farooq F, Khan R, Ahmed A. Assessment of patient satisfaction with acute pain management service: Monitoring quality of care in clinical setting. Indian J Anaesth 2016;60(4):248–52.

Sachdeva A, Dalton M, Lees T. Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev 2018;11(11):CD001484.

Clarke MJ, Broderick C, Hopewell S, Juszczak E, Eisinga A. Compression stockings for preventing deep vein thrombosis in airline passengers. Cochrane Database Syst Rev 2016;9(9):CD004002.

Joyce DP, Walsh SR, Yap CJQ, Chong TT, Tang TY. Compression therapy following ClariVein® ablation therapy: a randomised controlled trial of compression Therapy Following MechanO-Chemical Ablation (COMMOCA). Trials 2019;20(1):678.

Mallick R, Raju A, Campbell C, Carlton R, Wright D, Boswell K, et al. Treatment Patterns and Outcomes in Patients with Varicose Veins. Am Health Drug Benefits 2016;9(8):455–65.

Additional Files