Varicose veins of lower limb: clinical presentation and management

2019 ◽  
Vol 6 (8) ◽  
pp. 2905
Author(s):  
Akshay Nagre ◽  
Satish Deshmukh ◽  
Murtaza Akhtar
Keyword(s):  
Laser Ablation ◽  
Lower Limb ◽  
Clinical Presentation ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Active Phase ◽  
Lower Limbs ◽  
Female Ratio ◽  
Endovenous Laser Ablation ◽  
Male Preponderance

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.

scholarly journals DETERMINANTS OF RECURRENCE RATE DURING MIDTERM FOLLOW-UP OF PATIENTS AFTER ENDOVENOUS LASER ABLATION OF PRIMARY LOWER LIMB VARICOSE VEINS

2020 ◽  
Vol 71 (2) ◽  
pp. 457-470
Author(s):  
Mohammed Hatem ◽  
Mahmoud Sobhy ◽  
Wageh Fawzy ◽  
Karem Sabry ◽  
Ahmed Al-Taher
Keyword(s):  
Laser Ablation ◽  
Recurrence Rate ◽  
Lower Limb ◽  
Varicose Veins ◽  
Endovenous Laser Ablation

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

2019 ◽  
Vol 6 (3) ◽  
pp. 769
Author(s):  
Maragadha Mani ◽  
Anand A.
Keyword(s):  
Observational Study ◽  
Clinical Presentation ◽  
Vascular System ◽  
Varicose Veins ◽  
Demographic Data ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Leg Pain ◽  
Care Hospital ◽  
Presenting Symptoms

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.

EPIDEMIOLOGY OF PRIMARY VARICOSE VEINS OF LOWER LIMB IN A TERTIARY CARE HOSPITAL.

2021 ◽  
pp. 30-32
Author(s):  
Praveen Kumar Nookala ◽  
Sandeep Mahapatra ◽  
Anusha Arumalla ◽  
Muneer Ahmad Para ◽  
Venu Gopal Mustyala ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Lower Limb ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Lower Limbs ◽  
Venous Disease ◽  
Care Hospital ◽  
Study Results ◽  
Primary Varicose Veins

Introduction: Epidemiological studies plays an important role in providing information on the spectrum and frequency of venous disease distribution in a population. In India, study encompassing the clinical evaluation and surgical management of varicose veins on the conventional lines seems a necessity to improve the quality care with the available resources. We have undertaken an epidemiological study on inuence of age, sex, body mass index, posture on clinical manifestations and complications of varicose veins of lower limbs in patients attending the Department of Vascular Surgery . Materials and Methods: A prospective observational study was conducted in Department of vascular surgery on patients with primary varicose veins of lower limb. Patients with secondary varicose veins, recurrent varicose veins, patients less than 18 years, deep vein thrombosis& peripheral arterial disease were excluded from the study. Results: In the present study 88.89% of ulcer patients had combined saphenofemoral(SFJ) and perforator incompetence, while 11.11% of ulcer patients had combined saphenofemoral, saphenopopliteal (SPJ)and perforator incompetence.14% patients present with combined SFJ, SPJ and perforator incompetence. The patients with higher CEAP classication had combined SFJ and SPJ valvular incompetence. Most commonly, the disease affected the males in the age group of 40-50 years. Conclusion: The present study shows that prolonged standing , obesity ,increasing age are the common risk factors for development of varicose veins.

scholarly journals Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2480
Author(s):  
Mohd Shafiuddin ◽  
T. P. Bhavanishankar
Keyword(s):  
Risk Factors ◽  
Lower Limb ◽  
Muscle Tone ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Clinical Aspects ◽  
Common Symptom ◽  
Care Hospital ◽  
Male Predominance

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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