Introduction:Varicose vein is one of the most common vascular conditions in the adult population. Symptoms ranged from dilated and tortuous veins with fatigue, heaviness, and itching to more serious conditions such as skin discolouration and leg ulceration. 1 Multiple techniques for treating saphenous reflux have been developed over the years, such as high ligation at saphenofemoral junction, stripping of great saphenous vein, ultrasonogram guided sclerotheraphy, as well as various combinations of these procedures. Recently, endovenous laser ablation identified as a viable treatment option for patients with saphenous reflux. 2 Surgical treatment includes high ligation of the saphenous vein or high ligation and stripping of GSV. High ligation alone demonstrated a 43%-71% failure rate at 5years and high ligation and stripping of GSV had a 25%-60% failure rate, ranging from 5-34 years in the available literature. [3][4][5][6] The failures associated with high ligation alone stemmed from neovascularization that occurred in the saphenofemoral surgical bed and was attributed to the process of skeletenization and ligation of all tributaries of the saphenoferal junction. In the recurrences that occurred after stripping, the etiology may be incomplete removal of the entire vein. 2 The most common complication of high ligation and GSV stripping is paresthesia with others like infection, haematoma, bruising. Because of high failure rates and recurrences of Foam Sclerotherapy and Laser Ablation of Varicose Veins: Newer Option in Bangladesh Perspective

Introduction: Nutrition is an important factor for recovery following cardiac surgery. Most patients loose appetite and have reduced nutrition following cardiac surgery. Several factors including pain, anxiety, medications, whole body inflammatory response, Cardiopulmonary bypass (CPB) have role in postoperative anorexia and reduced nutrition.Objective: Objective of this study is to find out the role of CPB in postoperative anorexia and nutrition.Methodology: This prospective study was conducted at NICVD. 30 randomly selected adult patients who had undergone open heart surgical procedures were compared to same number of closed heart surgery patients. The daily food intake was calculated from the ICU data-sheets and calorie value obtained. The values were compared between the open and closed heart surgery patients.