DOI: http://dx.doi.org/10.18203/2349-2902.isj20190516

A prospective observational study to analyse clinical profile of varicose vein cases treated in a tertiary care hospital

Maragadha Mani, Anand A.

Abstract


Background: Varicose veins are common vascular disorder. The study was conducted to analyse the clinical presentation, treatment options and complications of varicose veins.

Methods: This observational study was conducted in Thanjavur Medical College Hospital. Adults with clinically diagnosed unilateral or bilateral varicose veins of lower limbs were studied in surgical wards between August 2013 to July 2014. The demographic data and presenting symptoms, signs and previous treatment were collected using a structured proforma. Thorough clinical examination, duplex scan and abdominal and pelvic examination were done in all cases to find out the secondary causes. Peripheral vascular system was examined. All the patients were followed regularly for the period of one month to one year after treatment.

Results: A total of 60 cases were included. Most participants belonged to 2nd and 3rd decade of life. 55 (91%) participants were male and5 (9%) participants were females. 45 (75%) participants were agriculturists. 10 (17%) participants had bilateral involvement. Most participants 30 (50%) participants had 1 to 5 years duration of disease, most common clinical presentation of the study participants was varicosity with 70.0%, followed by lipodermo sclerosis, leg pain, hyperpigmentation, pruritus as 63.0%, 56.0%, 15% and 11.6% respectively. 17 (28.33%) patients were present with a venous ulcer. 32 (53%) participants were managed surgically, and 28 (47%) participants were managed conservatively. Most participants were treated with multiple ligation 21.8% followed by trendelenburg operation+ stripping18.75%.

Conclusions: Regarding the treatment, surgery is the treatment of choice for primary varicose veins and conservative treatment for secondary varicose veins.


Keywords


Complications, Doppler ultrasound, Surgery, Varicose veins, Varicose ulcer

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References


Mirji P, Emmi S, Joshi C. Study of clinical features and management of varicose veins of the lower limb. J Clin Diagn Res. 2011;5(7):1416-20.

Nagaraj H, Hebbar AK, Rajaput AS, BV SK. Prospective clinical study of surgical management of varicose veins of lower limb and its complications. Int J Res Med Sci. 2017 Jan 20;2(1):306-9.

Carradice D. Superficial venous insufficiency from the infernal to the endothermal. Ann R Coll Surg Engl. 2014;96(1):5-10.

Brittenden J, Cotton SC, Elders A, Ramsay CR, Norrie J, Burr J, et al. A randomised trial comparing treatments for varicose veins. N Engl J Med. 2014;371(13):1218-27.

Jami V, Kumar TP. A clinical study on varicose veins of lower limbs. Global J Res Analysis. 2018;7(6):75-7.

Bradbury A, Evans C, Allan P, Lee A, Ruckley CV, Fowkes FG. What are the symptoms of varicose veins? Edinburgh vein studies cross-sectional population survey. BMJ. 1999;318(7180):353-6.

Bashir J, Das K, Ahuja P, Arain MS. Clinical features and risk factors of varicose veins at Liaquat University Hospital Hyderabad. Pak J Surg. 2013;29(2):127-30.

Barros FS, Perez JM, Zandonade E, Salles-Cunha SX, Monedero JL, Hilel AB, Menezes AA, Barros DS. Evaluation of pelvic varicose veins using color Doppler ultrasound: comparison of results obtained with ultrasound of the lower limbs, transvaginal ultrasound, and phlebography. J Vascular Brasileiro. 2010 Jun;9(2):15-23.

Mulla SA, Pai S. Varicose veins: a clinical study. Int Surg J. 2017 Jan 25;4(2):529-33.

Shafiuddin M, Bhavanishankar TP. Study of different surgical management approach in lower limb varicose veins at tertiary care hospital. Int Surg J. 2017 Jul 24;4(8):2520-4.