Clinco-Anatomical And Radiological Study Of Varicose Veins Of Lower Limb And Their Management Outcomes

Twenty percent of varicose vein surgery worldwide including India is done for recurrent disease, which frequently is due to technically inadequate or inappropriate treatment most often based on incomplete knowledge of this fascinating yet troublesome disease. Aim of the study: To study the clinical presentations and venous Doppler findings of varicose veins of legs and study the outcome of conservative and surgical measures. Material and methods: This prospective study was carried out over a period of 12 months in the Department of General Surgery at Himalayan Institute of Medical Sciences, Dehradun, where all patients with varicose veins of the lower limb were included. The clinico-etiological and radiological assessments of the varicose vein were classified under the Clinico-Etiological-Anatomical-Pathological classification (CEAP Classification). Management was done either by conservative or surgical measures depending upon the evaluation of the patient. Results: Patients with CEAP Class 4 or more will invariably be symptomatic and even if the saphenofemoral or saphenopopliteal junctions are competent they should undergo surgical treatment specially to avoid any future ulceration.