Factores asociados a la efectividad de la cirugía convencional y la escleroterapia en el tratamiento de pacientes con insuficiencia venosa crónica en el Hospital General del Norte de Guayaquil Los Ceibos, 2017-2019.

Abstract

Introduction: Chronic venous insufficiency in those who suffer from it may present physical and functional limitations, which is why timely treatment guarantees undoubted benefit in this pathology. Various treatments have been used, including Sclerotherapy in which an sclerosing agent is used inside the veins and Conventional Surgery in which the internal saphenectomy and the resection of incompetent communicating veins stand out, which are the most performed in the vascular surgery services. Objective: To analyze the factors associated with the effectiveness of sclerotherapy and conventional surgery used in patients with chronic venous insufficiency at the Hospital General del Norte de Guayaquil IESS los Ceibos, 2017-2019. Methodology: A descriptive, cross-sectional study was conducted from 2017 to 2019 of all patients diagnosed with chronic venous insufficiency, who underwent some type of treatment such as sclerotherapy or conventional surgery in the vascular surgery service. Results: A sample of 152 people, it was found that diabetes mellitus Or = 2.19, smoking Or = 1.2 present an or> 1 as a risk factor in conventional surgery, but they are not significant. In sclerotherapy, the prolonged standing variable presented an or> 1 and likewise did not meet the required significance. Conclusion: Predominant pathology in the female sex, in this study was 68.21%. The main symptomatology was pain and the main reason for consultation was varicose veins. The most frequent stage of involvement corresponds to Grade 2.