Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

Authors

  • Mohd Shafiuddin Associate Professor, Department of Surgery, Gulbarga Institute of Medical Sciences, Gulbarga, Karnataka, India
  • T. P. Bhavanishankar Professor, Department of Surgery, KIMS, Hubli, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20173183

Keywords:

Lower limbs, Saphenous veins, Varicose veins

Abstract

Background: Lower limb varicose veins are one of the common peripheral vascular diseases which requires treatment for leading the productive life without compromise. The present study was undertaken to evaluate the risk factors and various clinical aspects of varicose veins of lower limb of the patients.

Methods: The clinical study involved 21 patients with lower limb varicose veins admitted in the surgical wards of Karnataka Medical College Hospital Hubli, during the period from January 1990 to February 1992. Clinical proforma was prepared before starting the study and based on this proforma the data was collected and analyzed.

Results: Majority of the patients (42.8%) were under the age group of 21-30 years. Male predominance (95.3%) was seen. Majority (85.7%) of the patient’s occupation was involved in prolonged periods of standing and violent muscular efforts. The most common symptom was pain and prominent veins noted in 10 (47.64%) patients. varicosities were distributed equally in both the limbs (42.86%). Long saphenous vein involvement was seen in 18 (85.72%) cases. Incompetent perforator was observed in 20 cases.

Conclusions: We conclude that occupations involving prolonged periods of standing and violent physical effort are the major contributing factors for prevalence of varicose veins. Hence care to be taken to avoid its incidence by doing the physical activities that can improve the blood circulation and muscle tone in lower limbs.

References

Campbell B. Varicose veins and their management. BMJ. 2006;333(7562):287-92.

Callam MG. Epidemiology of Varicose Veins. Br J Surg. 1994;81(2):167-73.

Singh KK, Surjyalal Sharma A, Sunil Singh L, Mahadev P. Prevalence and surgical outcomes of varicose veins at Regional Institute of Medical Sciences, Imphal. JIACM. 2013;14(3-4):209-13.

Cranely JJ. Varicose veins, deep vein thrombosis and hemorrhoids, epidemiology and suggested etiology. Br Med Jr. 1972;2:556.

Shankar KH. Clinical study of varicose veins of lower limbs. Int Surg J. 2017;4:633-6.

Kirstner RL. Surgical repairs of the incompetent femoral vein valve. Arch Surg. 1975;110:1336.

Berghan J, John S. Venous and lymphatic surgery. Chapter-64 In: Essential Surgical Practice. 3rd Edition. 1998:118-132.

Mirji P, Emmi S, Joshi C. Study of Clinical Features and Management of Varicose Veins of Lower Limb. J Clin Diagn Res. 2011;5(7):1416-20.

Nagaraj H, Hebbar AK, Rajaput AS, Kumar BVS. Prospective clinical study of surgical management of varicose veins of lower limb and its complications. Int J Res Med Sci. 2014;2:306-9.

Dur AHM, Mackaay AJC. Duplex assessment of clinically diagnosed venous insufficiency. Br J Surg. 1992;79:155-61.

Delbe, Mocquet. Varicose veins and deep vein thrombosis: epidemiology and suggested aetiology. Br Med J. 2005;2:556.

Donnell TFO, Burnand KG, Clemenson G, Thomas ML, Browse NL. Doppler examination versus clinical and phlebographic detection of the location of incompetent perforating veins. Arch Surg. 1977;112:31-2.

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Published

2017-07-24

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Section

Original Research Articles