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Journal of Cardiovascular Medicine and Surgery

Volume  8, Issue 4, October-December 2022, Pages 111-113
 

Original Article

Role of Wide Awake Trendelenburg’s Operation of Prevention of Recurrence of Venous Ulcer

Nishad. K, Neljo Thomas, Ravi Kumar Chittoria, Barath Kumar Singh, Jacob Antony Chakiath

1-5 Senior Resident, Professor, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.8422.1

Abstract

The COVID-19 pandemic in 2020 was a testing time for healthcare facilities all over the world, every day new frontiers were met. The patients were to be treated with compassion and care meantime following all safety norms. Trendelenburg’s operation is the time-tested treatment available for varicose veins usually done under spinal or general anesthesia, using electrocautery for dissection and hemostasis. But due to the risk of aerosol generation spinal anesthesia or general anesthesia or use of electrocautery were reserved to a minimum. In this article, we share our experience of undertaking Trendelenburg’s operation for one such patient who got her 8 years old venous ulcer completely healed during the pandemic without getting covid transmission and comparable results that of the conventional Trendelenburg’s operation.
 


Keywords : Venous Ulcer, Trendelenburg’s Operation, Wide Awake Surgery, Tumescent anesthesia.
Corresponding Author : Ravi Kumar Chittoria, Professor, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.