Background: The proper procedure of high saphenofemoral ligation, which requires methodically finding, ligating, and dividing all of the Long Saphenous Veins's tributaries as they join the Femoral Vein in the groin, has received a lot of attention. The current study compares the results of varicose vein surgery i.e. simple high ligation of Sepheno-femoral Junction (SFJ) with and without striping.

Objectives:

1. To evaluate the distribution (age, sex, occupational), precipitating factors and complications of varicose veins of lower limbs.
2. To assess and compare postoperative outcome of Sepheno-femoral Junction(SFJ) Incompetence in Varicose Veins by doing Simple High Ligation With and Without Stripping.

Materials And Methods: 50 patients with varicose veins who visited the Srinivas Institute of Medical Sciences and Research Centre Surgery OPD or were admitted to the surgery wards at SIMSRC between June, 2022 and Feb, 2023 were included in the study, after meeting the inclusion and exclusion criteria. In all patients, a sphenofemoral ligation (SFJ) was performed. There were two groups formed. 25 of the cases were treated by SFJ ligation and long saphenous vein stripping up to the knee joint. SFJ ligation without stripping was used in 25 other cases. Patients were followed up on for 6 months after surgery to look for short-term post-operative outcomes.

Results and Observations: Most of the patients belonged to age group 41-50 years (42%) and 70% were males. 42% had cosmetic disfigurement, 24% had swelling, 20% had aching, and 14 % had ulcer. 76% had LSV & SSV, 16% had LSV, 8% had SSV. Bruising was evident in 4% of patients in the group without stripping and 8% in the group with stripping. Hematoma in the thigh was detected in just 2 (8% of) subjects without stripping, but in 12% of patients with stripping. There was no sensory nerve injury in the group that did not undergo stripping. 4% of patients in the stripping group had sensory nerve damage. On the first day of surgery, 2(8%) of the 25 patients with stripping experienced painful ambulation, while 5(20%) of the patients without stripping experienced painful ambulation. In 96% of patients with stripping and 92% of patients without stripping, the post-operative hospital stay was fewer than 7 days. The mean hospital stay of patients who had stripping was shorter than that of patients who did not have stripping, although p>0.05. At the three-month follow-up, it was discovered that 100% of the subjects who had stripping returned to their normal activities, whereas 92% of the patients who had not stripped returned to their normal activities, p>0.05. No recurrence was observed in the patients of any group

Conclusion: There are various treatment options for varicose veins. In this study, the optimal treatment is a saphenofemoral junction flush ligation with tributary ligation and stripping of the long saphenous vein up to the knee joint. It is a simple, successful, and permanent therapy procedure.