Prevalencia de recidiva de varices en pacientes de 30 a 60 años con safenectomía en el hospital de especialidades Abel Gilbert Pontón durante el período 2018 – 2019.

Abstract

Chronic venous disease (CVD) is a condition that prevails and can worsen with age, causing symptoms such as pain, heaviness and swelling in the legs, which ends up affecting the patient's quality of life. Although there have been great advances regarding interventional treatment, there are different studies that reflect a recurrence prevalence rate that ranges approximately between 10 to 20%. Objective: To estimate the prevalence of recurrence of varicose veins in patients aged 30 to 60 years with saphenectomy at the Abel Gilbert Pontón Specialty Hospital during the period 2018 - 2019. Design: the present study design is observational, descriptive, retrospective and longitudinal. Methods: 442 patients who attended the outpatient area of the Abel Gilbert Pontón Specialty Hospital, with a diagnosis of ICD-10 I872 Chronic Peripheral Venous Insufficiency and with a surgical indication due to Doppler echo finding of severe insufficiency of the internal saphenous vein, especially of the fallen during the period 2018 – 2019. Results: In this study we obtained as a result a predominance of the female sex with 57% of patients who were operated on for chronic venous insufficiency. Of the 7 patients treated for chronic venous insufficiency with saphenectomy who presented recurrences, 5 patients were male (71%). Of the 7 patients treated for chronic venous insufficiency with saphenectomy who presented recurrences, 4 patients (57%) had sedentary habits. Regarding adherence to elastocompression, these measures were indicated and used in 100% of the 47 patients who underwent saphenectomy during the postoperative period. In addition, all patients were indicated this therapy during their subsequent controls. Despite continuous use, 14% (7 patients) presented varicose recurrence. Conclusion: The recurrence rate of varicose veins in the lower extremities in patients undergoing surgery at the Abel Gilbert Pontón specialty hospital during the 2018-2019 period was 14.8%, the use of elastocompressive therapy in 100% of patients operated on in this study seems to indicate its non-relationship as a protective factor for varicose recurrence, but other studies relate the irregular use of this therapy as a determinant in the appearance of varicose recurrence, which could be the case in our study, but could not be demonstrated due to the lack of evidence on the frequency of use of this therapy.