Clinical Case Study of Varicose Veins

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.

Study of the Clinical Profile of Varicose Vein Disease

“…Huded et al reported that 40% of their patients stayed for 6-10 days. 11 . Both studies have similar figures.…”