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STUDY OF VARICOSE VEINS OF LOWER LIMB; CLINICAL PRESENTATION AND MANAGEMENT

Dr Isma Imtiaz, Dr Anum Pervaiz, Dr. Pakeeza Afzal

Background: varicose veins are a common disorder of the lower limbs. Usually, the patient has an aesthetic problem that, if not treated in time, can lead to complications that lead to significant morbidity. Several options are available for surgical management. The present study was conducted to examine the demographic factors, to evaluate the clinical aspect and the outcomes of the different modalities of treatment of varicose veins of the lower limbs. Methods: the present study was conducted from October 2016 to October 2018 in a third level academic hospital and 54 cases were included. The clinical aspect of varicose veins has been studied. The average age and gender prevail calculated. All patients underwent clinical and venoperative tests and were consequently treated as conservative, surgical or intravenous laser ablation. Complications after reviewing the procedures. Results: Overall, 39 (72%) of the 54 patients were under 50 years old. The prominent veins on the lower limb were the most common. The sapheno-femoral transition was the most affected vein. Male obesity was observed with a male-female ratio of 12.5: 1. Venous Doppler has an accuracy of 92.59% in detecting sapeno-femoral and perforator incompetence. The results of intravenous laser ablation are similar to those of surgery but have lower morbidity. Conclusions: this study found that the disease occurs mainly in men during the active phase of life. Most patients have a great incompetence of the saphenous vein and the complications are greater when both the large saphenous vein and the perforating systems are involved. Venous Doppler is the study of choice as it has a high precision. Keywords: Incompetence, Varicose veins, Venous Doppler

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