Clinical Study and Comparison of Various Modalities of Treatment of Varicose Veins of Lower Limbs

Srinivas, Thatipamula; Suryanarayana, K; Sharadha, B.; Sindhu, Nyna

doi:10.14260/jemds/2016/1424

Cited by 1 publication

(2 citation statements)

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“…The long saphenous vein was involved in 81.5% of cases, the second victim being the perforators which was involved in 61.1% of cases. Other studies also confirm this fact, Delbe and Mocquet study, Sharma et al, Kiran Shankar et al, Srinivas et al 4,6,7 On comparing the accuracy of clinical examination to detect incompetent saphenofemoral junction by Brodie-Trendelenburg test, it was 92.5%,which is quite consistent with the accuracies of Sharma et al, Mishra et al, and Prabhu et al, 80%, 85% and 100% respectively. 6,14,15 Clinical evaluation in detection of perforators by multiple tourniquet test had accuracy of 63.36% which is quiet consistent with Sharma and Mishra et al, and Prabhu et al, reported better accuracy of 85%.…”

Section: Resultssupporting

confidence: 71%

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Varicose veins of lower limb: clinical presentation and management

2019

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Background: Varicose veins is a common clinical condition affecting the lower limbs. Usually patient comes for a cosmetic problem, it can cause complications giving rise to significant morbidity if not treated in time. Different options are available for surgical management. The present study has been carried out to study demographic factors, evaluate clinical presentation and outcome of various modalities of management of varicose veins of lower limb.Methods: The present study was carried out in a tertiary care academic hospital from October 2016 to October 2018 and 54 cases were enrolled. The clinical presentation of varicose veins were studied. Mean age and gender preponderance were calculated. All patients underwent clinical tests and venous doppler and accordingly appropriate treatment in the form of conservative, surgical or endovenous laser ablation was given. Complications following the procedures were studied.Results: A total of 39 (72%) patients out of 54 were below the age of 50 years. Prominent veins over lower limb was most common presentation. Sapheno-femoral junction was most commonly involved vein. Male preponderance was observed with a male to female ratio of 12.5:1. Venous Doppler had accuracy of 92.59% in detecting sapheno-femoral and perforator incompetence. Results of endovenous laser ablation are similar to surgery but with less morbidity.Conclusions: This study revealed the disease is prevalence in active phase of life with male preponderance. Majority of the patients had great saphenous vein incompetency and the complications are more when both great saphenous and perforator systems are involved. Venous Doppler is the investigation of choice as it has high accuracy.

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Section: Resultssupporting

confidence: 71%

“…New evidence suggests a role for anti-inflammatory drugs in the treatment and prevention of colon and rectal cancers. [4][5][6][7][8][9] Male to female ratio was 12.5:1. The male to female ratio was comparable to studies of Shankar and Algarsamy et al in which it was 14:1.…”

Section: Resultsmentioning

confidence: 99%