Management and clinical outcome in varicose veins.

ABSTRACT

Background & objectives: Varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The objectives of the study are analysis of the clinical features of varicose vein and to know the various treatment modalities adapted for the management of varicose veins. Methods: A prospective follow up was undertaken for 25 patients who were admitted for various symptoms of varicose veins. They were subjected to detailed history taking and examination with relevant investigations including Doppler venous study and were subjected to surgery. They were followed up for at least 6-month period to assess long-term morbidity, late complications. Results and Interpretation: In our study, maximum number of patients 8 (32%) were presented in the 31-40 years age group. In our study, in 13 (52%) cases, right lower limb was involved and in 10 (40%) cases left lower limb was involved and in 8 (8%) both limbs were involved. In the present study, the commonest symptom in 24 (96%) cases was that of dilated and tortuous veins. 13 (52%) cases had complaints of pain in the affected limb and 5(20%) cases had limb edema, venous ulcer was present in 18 (72%) of cases. Most patients were subjected to operative management.Conclusion: The outcome of cases of primary varicose veins depends on a thorough and complete clinical examination and duplex scan by experienced radiologists. Operative line of treatment is a primary procedure in the management of varicose veins of lower limbs.