Comparison of Cockett and Dodd’s and Hook Phlebectomy Method in perforator ligation surgery in the management of perforator incompetence of the lower limb veins

Abstract

Background: Varicose veins are a common medical condition present in at least20% of the general population. Objective: to assess the role of Cockett and Dodd’s and Hook Phlebectomy Method in perforator ligation sergury in the management of pergorator incompetence of the lower limb veins and the various complication of the sergury in the post operative period. Materials and methods- This hospital based study was conducted on varicose veins patients with perforator incompetence admitted in AVMC. This is a prospective study comprising 60 patients (n =106) of varicose veins patients with perforator incompetence over a period of 2years from Sept 2016 to October 2018. Results- The mean age in Hook Phlebectomy group was 51.8±14.235 and in Cockett and Dodd group was 49.467±14.635. Patients in Cockett and Dodd group had significantly lower pain when comparing to Hook Phlebectomy group. Patients in Hook Phlebectomy group had significantly lower post operative day of discharge when comparing to Cockett and Dodd group. In Hook Phlebectomy group, 20(66.7%) patients had recurrence and in Cockett and Dodd group, 25(83.3%) patients didn’t have recurrence. In Cockett and Dodd group, none of the patients had viscosities and wound infection. Conclusion- Cockett and Dodd method of open perforator ligation has an important role in treatment of perforator ligation with decreased incidence of wound infection and recurrence than in patients treated with Hook Phlebectomy procedure.