Abstract

A CLINICAL STUDY OF VARICOSE VEINS OF LOWER LIMBS IN A TERTIARY CARE HOSPITAL IN AJMER

Dr. Dhruva Sharma*, Dr. Neeru Sharma, Dr. Preksha Sharma, Dr. Rekha Porwal, Dr. Neha Sharma, Dr. Pooja Sharma

Abstract

Veins that undergo dilatation, elongation and tortuosity are called varicose veins. Common risk factors for the development of varicose veins include age older than50 yrs, female sex hormones, heredity, gravitational hydrostatic forces and hydrodynamic force due to muscular contraction , diffusion block in microcirculation4, escape of fibrinogen due to increase in the endothelial pore size. Various complications associated with varicose veins include thrombophlebitis, eczema, haemorrhage , varicose ulcers. OBJECTIVES : The aim of this study is to study the cases of varicose veins in relation to age, sex, occupation and to study the predisposing factors leading to varicose veins and what are the common symptoms and complications associated with varicose veins and its management. MATERIALS AND METHODS 50 patients of varicose veins who were admitted in J L N hospital,Ajmer were included in this study.Details pertaining to their age, sex occupation, common symptoms, predisposing factors and complications were noted. All the clinical tests, relevant investigations pertaining to blood, Doppler study and other imaging studies were done. RESULTS: Varicose veins were common in younger age group persons and maximum number of cases were seen in 21-30year age group and more common in males as compared to females . The most common occupation associated with varicose veins were labourers and farmers which required prolonged standing. The most common symptom associated was dilated and tortuous veins seen in 100% cases in present study followed by dull aching pain(60%). Ulcers and dermatitis (32% each) were the most common complication of varicose veins with prolonged standing as the most common predisposing factor . Left lower limb was involved in 22 cases slightly more than right limb which was involved in 20 cases whereas 8 cases showed involvement of both lower limbs. Long saphenous system was seen to be involved in 46 cases whereas isolated short saphenous system was involved in 3 cases. Involvement of both the cases was seen in 1 case.

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