Journal of Cardiovascular Medicine and Surgery

The COVID-19 pandemic in 2020 was a testing time for the 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 the time tested treatment available for varicose vein usually done under spinal or general anesthesia, using the electrocautery for dissection and hemostasis. But due to the risk of aerosol generation the spinal anesthesia or general anesthesia or use electrocautery were reserved to minimum. In this article, we share our experience of undertaking the 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.

Venous disorders causing a permanent increase in venous pressure are by far the most frequent reason for ulcers of lower extremity. Venous ulceration is the most severe and debilitating outcome of chronic venous insufficiency in the lower limbs and accounts for 80 percent of lower extremity ulcerations. The recurrence of venous ulcers is a common thing due to the recurrence of varicosities and non-compliance of the patient to the treatment. Various other causes for lower extremity ulcerations could be arterial insufficiency, prolonged pressure, diabetic neuropathy and systemic illness such as rheumatoid arthritis, vasculitis, osteomyelitis, and skin malignancy. A thorough investigation of underlying venous disorder is a prerequisite for a differentiated therapy. Venous ulcer causes a significant burden for the health care system. This article highlights the role of SWCR guidelines in management of venous ulcer.

Healthcare forms a novel field of technological development. Smartwatches and smart bands which are in widespread use help in monitoring the health status of the wearer and have found many uses including monitoring of pulse rate, oxygen levels, number of footsteps, calorie calculator. New series AppleTM smartwatches can generate, record, and interpret ECG within seconds in an easier and reliable method. Hence it has the potential to transform healthcare.