A clinical study of varicose veins and their management in patients attending the surgical department of a tertiary hospital

Üçüncü basamak bir hastanenin cerrahi bölümüne başvuran hastalarda varisli damarlar ve yönetimi üzerine klinik bir çalışma

Authors

  • Vikram Yogish ASSOCIATE PROFESSOR, DEPARTMENT OF GENERAL SURGERY, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, SRM INSTITUTE OF SCIENCE AND TECHNOLOGY, KATTANKULATHUR, TAMIL NADU, INDIA
  • Sugandh Arockiyasekar POST GRADUATE, DEPARTMENT OF GENERAL SURGERY, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, SRM INSTITUTE OF SCIENCE AND TECHNOLOGY, KATTANKULATHUR, TAMIL NADU, INDIA
  • Akhil Avirneni POST GRADUATE, DEPARTMENT OF GENERAL SURGERY, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, SRM INSTITUTE OF SCIENCE AND TECHNOLOGY, KATTANKULATHUR, TAMIL NADU, INDIA

Keywords:

Varicose veins, Venous doppler, Dilated veins, Venous ulcers.

Abstract

Varicose veins are abnormally dilated, tortuous and elongated veins that occur in the lower limbs. The patients usually present to the surgical outpatient department with various clinical presentations such as, dilated veins, venous ulcers over the legs, pigmentation of the skin and lipodermatosclerosis to name a few. Venous doppler is a very important investigation that must be done in a cases of varicose veins.The surgical treatment involves sapheno-femoral junction flush ligation with stripping of the varicose vein. Several other modalities are also available today such as, sclerotherapy and endovascular laser ablation (EVLA).

The objective of this study was to determine the clinical profile of the patients who presented with varicose veins and to determine the treatment that was offered to them to treat the varicose veins. This study was carried out from September 2015 to August 2018. A total of 62 patients were studied. The statistics were analysed using SPSS package 20.0. Ethical clearance was obtained from the institutional ethics committee.

The presence of dilated veins was the most common complaint with which patients presented to the surgical outpatient department. The most common surgical procedure that was performed was the sapheno-femoral junction flush ligation with stripping of the varicose vein. This study shows the importance of diagnosing a case of varicose veins and to determine as early as possible the treatment modality that should be offered to the patient.

ÖZET

Varisli damarlar, alt ekstremitelerde meydana gelen anormal şekilde genişlemiş, kıvrımlı ve uzamış damarlardır. Hastalar genellikle genişlemiş damarlar, bacaklarda venöz ülserler, deride pigmentasyon ve lipodermatoskleroz gibi çeşitli klinik tablolarla cerrahi polikliniğine başvururlar. Venöz doppler, varisli damarlarda mutlaka yapılması gereken çok önemli bir tetkiktir. Cerrahi tedavi variköz venin soyulması ile safeno-femoral bileşke yıkama ligasyonunu içerir. Günümüzde skleroterapi ve endovasküler lazer ablasyon (EVLA) gibi başka yöntemler de mevcuttur.

Bu çalışmanın amacı varis ile başvuran hastaların klinik profilini belirlemek ve varis tedavisi için kendilerine sunulan tedaviyi belirlemekti. Toplam 62 hasta incelendi. İstatistikler SPSS paketi 20.0 kullanılarak analiz edildi. Kurumsal etik kuruldan etik izin alındı.

Genişlemiş damar varlığı hastaların cerrahi polikliniğine en sık başvurduğu şikayetti. Uygulanan en yaygın cerrahi prosedür, varisli damarın soyulması ile safeno-femoral bileşke yıkama ligasyonu idi. Bu çalışma, bir varis olgusunun teşhis edilmesinin ve hastaya sunulması gereken tedavi yönteminin mümkün olduğunca erken belirlenmesinin önemini göstermektedir.

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Published

2021-07-07

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Articles