CLINICAL CASE STUDY OF VARICOSE VEINS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 7
Abstract
Varicose veins are defined as dilated usually tortuous, subcutaneous veins >3mm in diameter measured in upright posture with a demonstrable reflux. Varicose veins affect mainly the economically productive age group individuals. The aim of my study was to analyze the age, sex, occupation, mean age of presentation, clinical presentations, complications, treatment options, surgical complications and hospital stay in a case varicose vein patient and to compare with the standard literature results. The study was conducted on 50 patients who came to MKCG MCH Brahmapur, Odisha for treatment during the period of Jun 2012- Jun 2014. The patients underwent thorough clinical examination and Doppler ultrasound of the involved limbs to see for the incompetency of venous system. The data of the study was represented by bar graphs and pie charts. Majority of the patients were of 20-40 years (70%). In our study males constituted 84% and females 16%. The common complaints were tiredness and aching sensations in the leg. But a significant number of patients in our study were having symptoms of advanced disease like hyperpigmentation (26%), ulcer (18%), eczema (16%) and edema (4%). This was probably because these patients neglected their disease in the early stage. Manual workers constitute 28% of our study. Occupations like manual laborer, salesman, farmers, and security guards constitute around 36%. Left sided lesions are common than right side. Long saphenous segment is more commonly involved than short saphenous segment. Both segments are involved in 10% of patients. Sapheno femoral incompetence is the most common observed pathology. The perforators below the knee are commonly involved than lateral perforators. Trendelenburg procedure with stripping of the involved segment is commonly done procedure. Next common is sub facial ligation. Skin staining is the common complication postoperatively. Recurrence occurs in 2% of patients. Mean hospital stay was 11 days’ minimum and 29 days maximum. It was finally concluded that varicose veins affected younger age group. Males dominated than females because male dominated society. It affects mostly individuals with long standing occupation. The patients were treated effectively and good results were obtained.
Authors and Affiliations
Vijaykumar Huded, Sibaprasad Dash, Das S. K, Subhabrata Das, Ramanarayan Sahu, Sulata Choudhury, Subrato Pramanik, Amesh Ku. Rajak
Keywords
Related Articles
- EP ID EP221901
- DOI 10.18410/jebmh/2014/123
- Views 113
- Downloads 0
STUDY OF GRAM-NEGATIVE INFECTIONS AND PATTERN OF RESISTANCE TO CARBAPENEMS IN PATIENTS OF CHRONIC KIDNEY DISEASE
BACKGROUND Gram-negative infections are the most common cause of morbidity and mortality among critically-ill immunosuppressed patients especially in CKD. The increasing emergence of multidrug resistance among these pati...
CORRELATION OF SEVERITY OF APNOEA HYPOPNOEA INDEX (AHI) WITH FORCED EXPIRATORY VOLUME 1 (FEV1) IN OVERLAP SYNDROME
BACKGROUND Overlap syndrome was first described by David Flenley in 1980 refers to the coexistence of Chronic Obstructive Pulmonary Disease (COPD) and Obstructive Sleep Apnoea (OSA). The global prevalence of Overlap synd...
CT EVALUATION IS MUST FOR PROGNOSIS PREDICTION IN ACUTE PANCREATITIS; RESULTS OF A TWO YEAR PROSPECTIVE STUDY
BACKGROUND This study emphasizes the importance of computed tomography (CT) imaging in acute pancreatitis to grade clinical severity and predict outcome. The clinical and radiological findings in acute pancreatitis were...
A CLINICAL STUDY AND MANAGEMENT OF INCISIONAL HERNIA
BACKGROUND An incisional hernia is a type of hernia that involves the incomplete healing of a surgical wound. Treatments for an incisional hernia require surgical intervention. Prevention of an incisional hernia depends...
A CLINICAL STUDY OF AXIAL MYOPIA USING OPHTHALMIC A-SCAN ULTRASONOGRAPHY
BACKGROUND Myopia is the most common refractive error that affects all the age groups. Axial length is the primary factor for the determination of myopia and the purpose of this study is to measure the axial length in my...