Study of Surgical Management Varicose Veins in a Tertiary Care Institution

ABSTRACT

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.