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ORIGINAL ARTICLE
Year : 2019  |  Volume : 6  |  Issue : 4  |  Page : 157-164

Clinicopathological study of varicose veins (descriptive study)


Department of General Surgery, Goa Medical College, Bambolim, Goa, India

Correspondence Address:
Dr. Shantata J Kudchadkar
Department of General Surgery, Goa Medical College, Bambolim, Goa.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mgmj.mgmj_3_20

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Background: Varicose veins and their associated symptoms/complications constitute the most common chronic vascular disorders, affecting 20% of the adults, leading to surgical treatment. In general, this does not cause major life-threatening illness, yet the morbidity of venous ulceration places a substantial burden on community health care. Aim: The aim of our study was to evaluate various clinical presentations, management, and outcome in 50 patients who presented with varicose veins at tertiary center. Materials and Methods: This study is a descriptive review of clinical data of 50 patients diagnosed and treated for varicose veins at our tertiary center over 2 years. Results: Most commonly affected age-group was 41–60 years. Majority of patients were males, dilated veins being the most common presenting symptom. Increased incidence was observed in left leg (32%) as compared to right (26%). In unilateral leg involvement, great saphenous vein (GSV) was most commonly affected (62.06%), whereas in bilateral leg involvement, 73.8% had perforator incompetence. Patients with advanced disease had both saphenofemoral and perforator incompetence. Majority underwent Trendelenburg’s procedure with stripping of GSV and subfascial perforator ligation. Postoperative complications were minimal, and no patient developed recurrence at subsequent follow-ups. Conclusion: The use of color Doppler is an essential investigation along with clinical examination for effective treatment of varicose veins, to prevent recurrence and reduce morbidity. Operative treatment is the primary procedure in the management with minimal chance of recurrence.


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