Sudanagunta Venkata Subba Rao1, Akkenapragada Sai Datta2, Dharanikota Anvesh3
BACKGROUND
Varicose veins is a very common disease in Guntur District with many patients having agricultural background. This study was conducted at Katuri Medical College and Hospital on 88 patients with a diagnosis of varicose veins for a period of 2 years from December 2013 to November 2015.
MATERIALS AND METHODS
All patients were subjected to clinical examination followed by duplex scan of the lower limbs. Patients were subjected to brief conservative treatment and were followed by Trendelenburg flush ligation with stripping and multiple stab avulsions. In this study, we found that males were commonly affected (68.18%) with agricultural background (42%). In 45% of patients, visible varicosities were present with clinical grading (C2) followed by active ulceration and lipodermatosclerosis (C6) in 40%.
RESULTS
Most common surgical procedure performed in majority of patients was Trendelenburg flush ligation with stripping and multiple stab avulsions. No major postoperative complications were observed with commonest minor postoperative complication being small haematoma in 3 cases. There are many treatment modalities for varicose veins with variable recurrences and complications. Trendelenburg flush ligation with stripping and multiple stab avulsions has stood the test of time even in this modern era.
CONCLUSION
This study was conducted at Katuri Medical College and Hospital, Guntur, on 88 patients with diagnosis of chronic venous insufficiency with wide spectrum of symptoms ranging from visible varicosities to venous ulcer with lipodermatosclerosis excluding deep venous thrombosis. This study focuses on the aetiological factors, various treatment modalities, their comparison, efficacy and causes of recurrence.
KEYWORDS
Varicose Veins, Ulcer, Lipodermatosclerosis, Duplex Scan, Venous Reflux, Trendelenburg Flush Ligation, Stripping, Multiple Stab Avulsions.
