scholarly journals Status of clinical profile and management of varicose veins in a tertiary care teaching hospital

2021 ◽  
Vol 8 (10) ◽  
pp. 3093
Author(s):  
Atul Tandon
Keyword(s):  
Lower Limb ◽  
Medical Condition ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Venous Flow ◽  
Male Predominance ◽  
Vein Thrombosis ◽  
Left Limb ◽  
Deep Vein

Background: Varicose veins are a widespread medical condition found in at least 10 percent of the general population. Symptoms of varicose veins range from asymptomatic varicose veins to more extreme symptoms such as ulceration and bleeding.Methods: Fifty-six cases of varicose veins of lower limb were evaluated by taking detailed history and by carrying out thorough clinical examination. Patients with features of varicose veins and its complications were included in the study while patients with secondary varicose veins due to deep vein thrombosis, recurrent varicose veins, pregnancy, and venous flow obstruction were excluded from the study.Results: It was more common in left lower limb then compared to right one, 26 (46.4%) patients developed in left and 23 (41.1%) patients in right lower limb. In the present study, right limb involvement of 41.1% and left limb involvement of 46.4%. In the present study bilateral involvement is seen in four patients (12.5%).Conclusions: Distributions of varicose veins of lower limbs is greater common in center age organization of 30 to 50 years (58.9%) with male predominance, career and own family history are the opposite contributory factors.

Use of the Muscle Pump Activator for Increasing Lower Limb Venous Flow Velocity

1999 ◽  
Vol 14 (3) ◽  
pp. 123-125
Author(s):  
A. Zelikovski ◽  
A. Koren ◽  
E. Stelman ◽  
A. Avrahami ◽  
J. Cohen ◽  
...  
Keyword(s):  
Flow Velocity ◽  
Femoral Vein ◽  
Tertiary Care ◽  
Ease Of Use ◽  
Lower Limbs ◽  
Venous Flow ◽  
Muscle Pump ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Large Groups

Objective: To demonstrate the effect of a newly developed device, the Muscle Pump Activator, on venous flow velocity of the lower limbs. Design: Prospective study. Setting: Tertiary-care teaching hospital. Subjects: A group of 30 healthy volunteers. Interventions: The Muscle Pump Activator is a self-activated pedal device for use in the sitting position. Venous flow velocity was measured by duplex examination of the femoral vein at rest and during activation by the subject of the device. Subjective reports were also collected. Results: Venous flow velocity increased from 13.3 (SD 2.4) cm/s at rest to a maximum of 70.3 (SD 14.4) cm/s during 15 s of pedalling ( p<0.01). This represents an increase in flow of 439 (SD 12.4)%. Ease of use and comfort of the device were reported by all the volunteers. Conclusions: This Muscle Pump Activator significantly improves venous flow velocity and holds promise as a useful adjunctive modality for the prevention of postoperative deep vein thrombosis. It is easy to use and well tolerated. Studies are now needed in clincial settings with large groups of patients.

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.

Non-pharmacological treatment of lower extremity varicose veins in patients who are not classified for surgical treatment

2017 ◽  
Vol 2 (3) ◽  
pp. 111-120
Author(s):  
Zuzanna Radosz ◽  
Małgorzata Ptaszyńska
Keyword(s):  
Surgical Procedures ◽  
Lower Limb ◽  
Pharmacological Treatment ◽  
Varicose Veins ◽  
Compression Therapy ◽  
Interventional Treatment ◽  
Invasive Treatment ◽  
Class I Obesity ◽  
Vein Thrombosis ◽  
Deep Vein

The purpose of this study is to discuss non-pharmacological methods of lower limb varices treatment for patients not qualified for surgical procedures. These methods can be used by both nurses and patients. There are the following types of varices treatment: interventional treatment, compression therapy and other non-pharmacological methods. Surgery is a traditional method of treatment, however it is not suitable for lower limb arterial ischemia, deep vein patency, haemorrhagic diathesis, deep vein thrombosis, acute infectious disease, pregnancy and class I obesity (BMI>29). In the abovementioned cases the following types of non-invasive treatment are recommended: compression therapy and other such non-pharmacological methods as; limb elevation, diet, hardening of the arteries in the affected limb, proper footwear selection and physical activity. Despite the degree of severity of the condition and undertaken surgical procedures the preventive medical treatment should be considered in the therapy as it (the therapy) significantly affects the further development of varicose veins and the severity of ailments related to the disease. Results of a number of studies confirm the importance of the integrity between pharmacological and non-pharmacological treatment.

scholarly journals Pre- and Postoperative Evaluation by Photoplethysmography in Patients Receiving Surgery for Lower-Limb Varicose Veins

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Orlando Adas Saliba Júnior ◽  
Mariangela Giannini ◽  
Ana Paula Mórbio ◽  
Orlando Saliba ◽  
Hamilton Almeida Rollo
Keyword(s):  
Lower Limb ◽  
Varicose Veins ◽  
Lower Limbs ◽  
Varicose Vein Surgery ◽  
Postoperative Evaluation ◽  
Perforating Veins ◽  
Primary Varicose Veins ◽  
Ceap Classification ◽  
The Mean ◽  
Deep Vein

Objective. To evaluate the effectiveness of surgery in treating primary varicose veins in the lower limbs by photoplethysmography (PPG) and duplex mapping (DM).Method. Forty-eight lower limbs were clinically evaluated according to the CEAP classification system and subjected to PPG and DM exams. Each limb had a venous refill time (VRT) of <20 seconds and a normal deep vein system (DVS) by DM.Results. The mean pre- and postoperative VRTs were 13.79 and 26.43 seconds, respectively (P<0.0001). After surgery, 42 limbs (87.50%) had normal results by PPG (VRT > 20 seconds). Four limbs (8.33%) showed improved VRTs, but the VRTs did not reach 20 seconds. In the 2 limbs (4.17%) that maintained their original VRTs, the DM exams showed the presence of insufficient perforating veins.Conclusion. In most cases, PPG allows for a satisfactory evaluation of the outcome of varicose vein surgery.

Expression of the proinflammatory marker CD34 in varicose leg veins

Phlebologie ◽  
2015 ◽  
Vol 44 (01) ◽  
pp. 19-23
Author(s):  
I.V. Samsonava ◽  
M. M. Galishevich ◽  
S. A. Sushkou
Keyword(s):  
Lower Limb ◽  
Varicose Veins ◽  
Control Sample ◽  
Lower Limbs ◽  
Control Group ◽  
Posterior Tibial ◽  
Vena Saphena Magna ◽  
Primary Varicose Veins ◽  
Deep Vein ◽  
Cd34 Expression

Summary Objective: To study the CD34 expression in the leg veins with primary varicose veins. Material and Methods: The study included 18 patients with lower limbs varicose veins and deep vein valves insufficiency of C3 and C4 clinical classes (CEAP). To correct blood flow phlebectomy was accompanied by posterior tibial veins resection. Using immunohistochemistry, we compared the expression of CD34 in resected posterior tibial veins specimens and vena saphena magna distal fragment. Results: Posterior tibial veins wall in patients with lower limb varicosity and deep veins valves insufficiency vary the CD34 degree expression comparing with the control group. Total area of expression was significantly greater than in control sample. CD34 expression area was also significantly greater in vena saphena magna than in control group. CD34 expression comparison in the specimens from patients with varicose veins showed its significantly higher degree in the vena saphena magna than in tibial veins. Conclusion: With primary varicose veins superficial and deep leg veins develop unidirectional increase of CD34 expression, that can be assumed as a pathogenetic factors of further disease progression and involvement of deep vein valves.

scholarly journals Study of different surgical management approach in lower limb varicose veins at tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2520
Author(s):  
Mohd Shafiuddin ◽  
T. P. Bhavanishankar
Keyword(s):  
Wound Infection ◽  
Lower Limb ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Management Approach ◽  
Care Hospital ◽  
Contributing Factors ◽  
College Hospital ◽  
Male Predominance ◽  
Medical College

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.

scholarly journals Prevention of subclinical deep vein thrombosis in abdominal surgeries

2018 ◽  
Vol 5 (7) ◽  
pp. 2475
Author(s):  
Tazeem M. D. ◽  
Wasim M. D. ◽  
Sabia Amin ◽  
Tahmida Ali
Keyword(s):  
Molecular Weight ◽  
Deep Vein Thrombosis ◽  
Lower Limb ◽  
Low Molecular Weight Heparin ◽  
Lower Limbs ◽  
Low Molecular Weight ◽  
Vein Thrombosis ◽  
Group I ◽  
Deep Vein ◽  
D Dimer

Background: Deep vein thrombosis (DVT) is a common but elusive illness that can result in disability and death if not recognized and treated effectively. The reported incidence has not changed much over past couple of decades. The aim of this study was to identify the risk of deep vein thrombosis related to the number of days of immobility and the role of low molecular weight heparin in the prevention of deep vein thrombosis.Methods: A total of hundred (n=100) patients undergoing laparotomy were studied in the post-operative period between January 2014 and December 2016. Patients were divided into two groups alternatively; Group I patients did not receive any DVT prophylaxis and Group II patients were given low molecular weight heparin once a day till mobilization. From 3rdPOD, all the patients were evaluated with detailed history and lower limb examination. D-dimer study was done in all the patients and if positive then followed by Color Venous Doppler. Regular follow-ups were done weekly once for a month, every two weeks for next month and once a month thereafter, minimum for 6 months.Results: A total of hundred (n=100) patients, including 65 men and 35 women, with median age of 40 years underwent laparotomies in 2 years by a single unit. The incidence of Lower Limb DVT in Group I was 8%. The risk factors associated with DVT were sex, BMI, smoking and Malignancy. The signs and symptoms associated with DVT were swelling of lower limbs, pain and tenderness, fever and Homan’s and Moses signs. The D-dimer test results were positive in 9 patients. Color Venous Doppler identified DVT in 8 patients. On regular follow- ups, remissions of clinical symptoms were recorded and repeat Doppler scans showed recanalization in all the patients after 6 months.Conclusions: Deep Vein Thrombosis is multifactorial, and post-operative patients account for majority of cases. Early mobilization and Prophylactic Low Molecular Heparin prevents DVT in abdominal surgeries.

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.

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.

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