A Clinical Study of Diagnosis and Management of Varicose Veins of Lower Limb
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 8
Abstract
Varicose veins are a common vascular disorder occurring mostly in male often requiring surgical management. It leads to economic burden and loss of productivity due to morbidity. This study was conducted in order to investigate this common vascular disorder in this group of the population and to find the best modality of management. This is a prospective descriptive study of all the patients admitted to the Department of General Surgery with lower limb varicose veins of Prathima Institute of Medical Sciences Hospital, Karimnagar. A thorough history was taken in all the patients. A detailed clinical examination was done. All the clinical tests were applied. Then all the patients were subjected to duplex USG to confirm the diagnosis. The routine investigations were done. Appropriate surgical procedures were used for the treatment of varicose veins. The postoperative course was noted. Further, the patients were followed up. A total number of 42 patients (46 numbers of limbs) with primary varicose veins admitted, investigated, operated and followed up. Only 22% of the patients had the complaint of prominent veins. The study showed a slightly increased incidence in the left lower limb. The majority of the patients have involvement of long saphenous system. A greater portion of the patients had combined valvular incompetence (69.56%). Isolated perforator incompetence was seen only in 4.35% of the patients. Except for two patients who did not have Sapheno femoral incompetence, all other patients underwent Sapheno femoral flush ligation. Four patients had wound infection and Two patients developed seroma and were treated with needle aspiration and pressure dressing. Two patients had residual varicosity and patients underwent a repeat surgery. The study also revealed a slightly increased incidence of varicosity in the left lower limb as compared to the right lower limb. A greater portion of the patients had combined valvular incompetence with advanced hemodynamic disturbances at presentation. Saphenofemoral flush ligation with stripping appeared to be the best method of surgical management for incompetence in the long saphenous vein territory.
Authors and Affiliations
Dr. Arun Katari
Keywords
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