Background: The present study was conducted with the aim to evaluate the clinical features and management of varicose veins in terms of recurrence and symptoms improvement.Methods: This clinical study was conducted for a period of two years during January 1990 to February 1992. A total of 21 patients who presented with symptoms of varicose veins in lower extremities to Karnataka Medical College Hospital Hubli were involved in the study. After thorough clinical examination and investigation all the patients are subjected to relevant treatment.Results: Long saphenous system is the most common venous system affected by varicosity in 18 (85.7%) cases. Incompetence of perforator veins was seen in about 20 (95.3%) cases. Trendelenburg’s operation was done in all cases of long saphenous involvement. Sub fascial ligation of perforators was done in 2 patients. Wound infection is the common postoperative complication observed in 5 patients. Preoperative stay in hospital was longer in patients with ulcer (13 days), whereas patients with postoperative wound infection (14 days) had longer postoperative stay.Conclusions: This study showed that the prevalence of lower limb varicose veins has a male predominance and is more common in younger age group. Occupation involving standing for longer periods of time is one of the important contributing factors in the development of varicosities. There is no single method of appropriate treatment for all cases. Multiple ligations of saphenous vein and excision of varicosed tributaries were done in 9 patients. If cases are selected properly with good operative technique the complications are negligible.
Background: Lower limb varicose veins are one of the common peripheral vascular diseases which requires treatment for leading the productive life without compromise. The present study was undertaken to evaluate the risk factors and various clinical aspects of varicose veins of lower limb of the patients.Methods: The clinical study involved 21 patients with lower limb varicose veins admitted in the surgical wards of Karnataka Medical College Hospital Hubli, during the period from January 1990 to February 1992. Clinical proforma was prepared before starting the study and based on this proforma the data was collected and analyzed.Results: Majority of the patients (42.8%) were under the age group of 21-30 years. Male predominance (95.3%) was seen. Majority (85.7%) of the patient’s occupation was involved in prolonged periods of standing and violent muscular efforts. The most common symptom was pain and prominent veins noted in 10 (47.64%) patients. varicosities were distributed equally in both the limbs (42.86%). Long saphenous vein involvement was seen in 18 (85.72%) cases. Incompetent perforator was observed in 20 cases.Conclusions: We conclude that occupations involving prolonged periods of standing and violent physical effort are the major contributing factors for prevalence of varicose veins. Hence care to be taken to avoid its incidence by doing the physical activities that can improve the blood circulation and muscle tone in lower limbs.
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