Study of Surgical Management Varicose Veins in a Tertiary Care Institution

A total of 98 patients of both sexes aged between 30 and 65 years having varicose veins were studied with the involvement of 49 (50%) left leg, 41 (41.8%) right leg, and 8 (8.16%) both limbs were included in the study. The clinical manifestations were 27 (27.5%) had pain, 25 (25.5%) had dilatation of veins, 22 (22.4%) had ulceration, 8 (8.16%) had edema, 5 (5.10%) had itching and pigmentation, 6 (6.12%) had cramps, and 5 (5.10%) had heaviness legs. The occupation of the patients was as follows: 19 (19.3%) were farmers, 17 (17.3%) were shopkeepers, 21 (21.4%) were hotel/bar waiters (attenders), 14 (14.2%) were bus conductor, 16 (16.3%) were mason, and 11 (11.2%) were traffic police. The types of the involvement of venous system were 49 (50%) long saphenous venous system, 33 (33.6%) long saphenous and perforators, 9 (9.18%) had short saphenous system, and 7 (7.14%) had both long and short saphenous. The surgical procedures were 45 (45.9%) saphenofemoral flush ligation and ligation of constant tributaries, 33 (33.6%) ligation of perforator veins in addition to flush ligation, 6 (6.12%) ligation of saphenopopliteal flush ligation, 4 (4.08%) saphenofemoral and saphenopopliteal flush ligation with stripping of long and short saphenous vein, 8 (8.16%) flush ligation of saphenopopliteal with stripping of short saphenous, and 2 (2.04%) flush ligation of saphenopopliteal junction along with ligation of subfascial perforators.

A Rare Clinical Presentation of Primary Pulmonary Hypoplasia with Tuberculous Pleural Effusion.

Primary pulmonary hypoplasia is rare in adulthood. It is characterized by decreased number or size of bronchi, vessels and alveoli. We present a case of unilateral pulmonary hypoplasia in 44-old-year male smoker who presented with right pleural effusion. His chest X-ray revealed an inhomogenous opacity on the left side with bronchiectatic changes and right minimal pleural effusion. Fiberoptic bronchoscopy revealed blind end bronchi in left upper lobe and computed tomography pulmonary angiography revealed hypoplastic lung with cystic bronchiectasis on the left side and hypoplastic left pulmonary artery. It was not associated with any other congenital anomalies. In addition to symptomatic management, he was started on anti-tuberculous treatment for tuberculous pleural effusion and kept under follow-up.