News & Updation
Best Paper Awards
World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
Download Article : Click here
A STUDY ON CLINICAL SCENARIO AND MANAGEMENT OF VARICOSE VEINS
Dr. K. Sridharan M. S.*
Introduction: The varicose veins is the most common vascular disorder of the lower extremities. It affects more than 5 % of adult population but in India incidence of varicose veins seems to be far less common because patients come for complications such as pain, oedema, pigmentation and ulceration leading to tip of Iceberg phenomenon. This study will help in finding epidemiology, mode of presentation and effect of surgery on venous ulcers and recurrence. Hence based on this aim of our research is to study the incidence of varicose veins according to age, sex and occupation, to study spectrum of clinical presentation in varicose veins, to study effect of surgery in healing of varicose ulcers if present and also to observe the recurrence upto 6 months Material and Methods: This prospective study involved 50 patients admitted to surgical wad in Government district headquarters hospital, Krishnagiri with varicose veins. The study period was 12 months inclusive of a 6 month follow up period. Patients were evaluated and followed up according to a protocol. Observation and Results: Most patients was between 41 to 50 yrs (26 %.), males (74%), left side involvement in (70%) and farmer by occupation (40%) with pain as most common presenting symptom in (76%). Long saphenous system involvement in (94%). 6 patients out of 50 showed recurrence of varicose veins. 4 patient showed recurrence out of 21 venous ulcer patients. Conclusion: For varicose veins saphenofemoral junction ligation with stripping of vein with perforator ligation showed good outcome. Venous ulcers heal well after surgery with few recurrences.[Full Text Article]