Varicose veins: Clinical presentation and surgical management

Abstract

Background Varicose vein is a common surgical problem. We studied clinical presentation of varicose veins and its surgical treatment. Material and methods All patients with varicose veins presented to our hospital were included in the study. All patients in our study were assessed by clinico etiological Anatomical and pathological (CEAP) classification. Diagnosis was further confirmed by Duplex ultrasonography Results Surgery was prefered for 34 out of 40 patients. Remaining 6 patients were treated conservatively because 3 patients were pregnant and 3 had deep vein thrombosis (DVT). We have used Trendelenburg's operation with stripping in 30 out of 34 cases. We find this method to be satisfactory. Conclusion Meticulous clinical examination and surgical technique followed by closely monitored post operative management is required to reduce morbidity of varicose veins. Trendelenburg's operation with subfascial ligation has given good results in our set up. © Association of Surgeons of India 2009.