Surgery MCQ 101

A 40-year-old woman is diagnosed with varicose veins resulting from post-thrombotic damage to her venous valves. She is hesitant to undergo surgical treatment and prefers conservative management. The healthcare team discusses various conservative treatment options to manage her condition effectively and reduce symptoms.

Which of the following conservative treatments is commonly used to manage post-thrombotic varicose veins?

A. Compression Stockings  
B. Elevation of Limb  
C. Unna Boots  
D. Fegan’s Technique


The Correct Answer is: A. Compression Stockings

Explanation:

– Compression Stockings (A): Compression stockings are a primary conservative treatment for varicose veins, especially those resulting from post-thrombotic damage. They work by applying graduated pressure to the legs, which helps reduce venous pressure, improve venous return, and alleviate symptoms such as swelling and discomfort. Compression therapy is effective in managing chronic venous insufficiency and preventing the progression of varicose veins.

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Explanation of Incorrect Options:

– Elevation of Limb (B): Elevation of the limb can help reduce swelling and improve venous return temporarily, but it is not sufficient as a sole treatment for post-thrombotic varicose veins. It is often used in conjunction with other treatments.

– Unna Boots (C): Unna boots are a form of compression therapy that involves applying a zinc oxide paste bandage. They are typically used for treating venous ulcers and may be part of a treatment regimen, but compression stockings are more commonly recommended for managing varicose veins.

– Fegan’s Technique (D): Fegan’s technique is related to the surgical treatment of varicose veins and is not a conservative management option.
In summary, compression stockings are the most commonly used conservative treatment for managing post-thrombotic varicose veins, making option A the correct answer.