ORIGINAL ARTICLE   

Acta Phlebologica 2025 April;26(1):33-9

DOI: 10.23736/S1593-232X.24.00631-3

Copyright © 2024 EDIZIONI MINERVA MEDICA

language: English

The incidence of ecchymosis in postoperative varicose vein surgery with and without prior local tumescence

Vinícius BERTOLDI ¹, Rafael DE ATHAYDE SOARES ² ✉, Ana L. MOREIRA ¹, Walter CAMPOS JÚNIOR ¹

¹ Department of Vascular Surgery, Hospital Edmundo Vasconcellos, São Paulo, Brazil; ² Department of Vascular and Endovascular Surgery, Instituto de Assitência Médica ao Servidor Público Estadual de São Paulo, IAMSPE, São Paulo, Brazil

BACKGROUND: The aim of this study was to evaluate if the previous tumescence of the adrenaline solution changes the incidence and intensity of bruising as a complication of surgical treatment of varicose veins.
METHODS: A comparative, blind, prospective, randomized study was conducted at 14 patients whose lower limbs were divided into anterior, posterior and lateral areas.
RESULTS: Out of the 40 studied areas, 30% had a higher incidence of ecchymosis in the limb where the previous tumescence was performed, and 20% had a lower incidence and among the areas where tumescence was performed, 55% (11) had ecchymoses considered mild, 40% (8) had moderate ecchymoses, and 5% (1) had severe ecchymosis. In areas where the previous tumescence was not performed, the results were similar, 60% (12) mild, 40% (8) moderate, and 0% (none).
CONCLUSIONS: The tumescent solution performed before the varicose vein surgery did not prevent or reduce the intensity of ecchymosis.

KEY WORDS: Varicose veins, surgery; Ecchymosis; Hematoma