STUDY ON VARICOSES FROM A TERTIARY CARE HOSPITAL, GUNTUR

Abstract

Introduction: Varicoses are part of the penalty we pay for adoption of the erect posture. Varicose veins and its associated symptoms and complications constitute the most common vascular insufciency and a substantial number suffer economic hardship from the resulting disability. Aims&objectives: The objectives of the present study were to enumerate various clinical modalities of varicose veins and to determine varicose veins with reference to clinical presentations, common site of incompetence, involvement of perforators, different modalities of treatment, response to treatment and cause of recurrence if any Methods:All patients attending the cardiothoracic surgery department, Government General Hospital, Guntur from August 2021 - August 2022 presented with varicose veins who were diagnosed by using clinical and radiological methods. All patients were operated in Elective theatres with aseptic precaution under Spinal / Epidural anaesthesia. All patients were applied Elastocrepe Bandage immediately after surgery. Patients were encouraged ambulation only after 48 hours and instructed to contract the leg and dorsiex the foot against the railing of the bed. All patients were thoroughly assessed for complications and discharged after suture removal with instructions to attend surgical OPD 1 month and 3 months after surgery and follow up was done. Results: The majority of patients were in the age group of 30–60 years (72%). i.e. young adults and elderly with predominant being males (90%). Left limb involvement is more common than Right. Most of them are agricultural labourers and belonged to low socio- economic group. In all the patients varicose veins were of primary variety. Supercial venous system is only involved in all the patients. In more than 60% of cases the site of incompetence is saphenofemoral junction. Majority of cases (84 %) were treated by Trendelenberg's operation. Trendelenberg's operation with or without sapheno – femoral ligation had given good results in our set up. Recurrence rate was 10%. Conclusions: Appropriate management of the condition is extremely important for better quality of life and to prevent recurrence.