Title: Clinicopathological Features and Outcome of Varicose Veins - A Prospective Study
Authors: Dr Aravindhan.M, Dr Kabalimurthy.J, Dr Sundar Prakash.S, Dr Jospin Amala A, Dr Kamal Kumar, Dr Mary Prescilla
DOI: https://dx.doi.org/10.18535/jmscr/v8i11.06
Abstract
Background: The study was conducted to study the various etiological, anatomical and pathological factors for varicose veins. To study the clinical patterns of varicose veins and comparing their occurrence with etiological factors and to study the relevance of various investigative modalities for varicose veins.
Materials and Methods: This study was conducted in 52 patients diagnosed with varicose veins who were admitted in the department of General Surgery, Rajah Muthiah Medical College from October 2018 to September 2020.
Results: Out of 52 patients, those who presented with C4 classification are highest. Primary etiology was much common than secondary. Pathologically, reflux type was common then obstructive type. Anatomically GSV and perforator combination was more common.
Conclusion: In this study, Clinical presentations in varicose veins ranged from mild to severe varicosities, with ulcer and lipodermatosclerosis being the most severe forms. At present, Duplex ultrasound scanning is the most reliable investigative tool in making diagnosis of varicose veins. Treatment includes conservative management, sclerotherapy and surgery. Surgical intervention has been revolutionized by the development of endovenous techniques like radiofrequency abalation, laserabalation, foamsclerotherapy and subfacial endoscopic perforator surgery.
Keywords: Varicose veins, GSV, perforator, Doppler, trendelenberg.
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