Prospective study of 100 cases of varicose veins

Rajiv, M (2013) Prospective study of 100 cases of varicose veins. Masters thesis, Tirunelveli Medical College, Tirunelveli.


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BACKGROUND: Venous diseases of lower limb remain common affecting 20% of adult population. Objective of this study is to identify cases with primary varicose veins, evaluate with appropriate investigations, collect data and establish the clinical spectrum of complications in this population. AIMS OF THE STUDY: 1. To analyse the incidence of varicose vein in Tirunelveli Medical College, Tirunelveli. 2. To analyse age distribution. 3. Male : Female ratio. 4. Incidence of ulcer in varicose vein patients. 5. Post-operative complications. 6. Percentage of recurrence in 6 months of follow up. OBJECTIVES: 1. To identify all admissions with primary varicose veins. 2. To evaluate patients having primary varicose veins with appropriate investigations and recognize complications. 3. To collect data and establish the clinical spectrum of complications in this population. 4. To suggest measures to improve patients understanding in order to prevent complications. METHODS: A prospective study was conducted on 100 consecutive patients with primary varicose veins at Tirunelveli Medical College and hospital, Tirunelveli. All cases of varicose veins presenting to the OPD were subjected to doppler study to rule out secondary causes. Patients admitted with varicose veins who satisfied the inclusion and exclusion criteria were included in the study. Patients who presented with bilateral disease got their symptomatic limb operated first while the other limb was treated conservatively Patients with saphenofemoral incompetence were treated with saphenofemoral junction ligation and stripping of long saphenous vein. Patients with saphenopopliteal junction incompetence were treated with saphenopopliteal junction ligation with or without stripping of short saphenous vein. Patients with perforator incompetence were treated with multiple phlebectomies. CONCLUSION: 100 patients of primary varicose veins of lower limbs were admitted to Tirunelveli medical college and hospital and a prospective study of these patients revealed, 1. Commonest age group affected is 31-40 years. 2. Definite relationship exists between occupation involving prolonged standing and primary varicose veins. 3. The involvement of long saphenous and communicating system is commonest followed by long saphenous involvement alone. 4. Pain is the commonest symptom. 5. Patients with involvement of long saphenous and communicating system or long saphenous and short saphenous system had more symptoms than the others. 6. Commonest complication is pigmentation. 7. Complications of varicose veins responded well to operative treatment. 8. Results of surgical treatment are good. 9. Mortality is nil.

Item Type: Thesis (Masters)
Uncontrolled Keywords: varicose veins ; 100 cases ; Prospective study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 09 Jun 2018 17:49
Last Modified: 09 Jun 2018 17:49

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