چکیده (انگلیسی):

Background: Varicose vein is a common surgical problems in India. This study was done to assess the
clinico-epidemiological profile, risk factors and management practices in varicose veins.
Materials and methods: Medical records of 170 varicose vein cases admitted in tertiary care hospitals in
Mangalore between May 2011 to April 2014 were reviewed retrospectively.
Results: Majority of cases 53(31.2%) were of the age group 41e50 years. Majority were males 127(74.7%)
and majority were unskilled workers 101(59.4%). Superficial veins were involved in 123(72.4%) cases.
Perforator followed by great saphenous vein were most frequently involved. Veins on the left side were
more involved than on the right. Common symptoms at the time of presentation was ulceration
98(57.6%) followed by pain in the legs 96(56.5%). Ulceration was seen significantly more among females
(p ¼ 0.027) and among house wives (p ¼ 0.004). Complications like eczema 46(27.1%), non-healing ulcers
21(12.3%) and deep vein thrombosis 10(5.9%) were reported among cases. Eczema was present signifi-
cantly more among elderly patients aged above 60 years (p ¼ 0.019). Risk factors like prolonged standing
was observed in 86(50.6%) cases. This history was significantly seen among males (p ¼ 0.001) and among
those involved in unskilled occupations (p < 0.001). Recurrence of varicose vein was reported in
23(13.5%) cases. It was associated with patients of the age group 21e30 years (p ¼ 0.021). Doppler ultrasound
was the most common 120(70.6%) investigation done. Micronized purified flavonoid fraction
was used in management in 15(8.8%) cases. Conservative management methods like limb elevation
50(29.4%) and compression stocking 36(21.2%) was advised to patients. Saphenous vein stripping was the
most common surgical procedure 40(23.5%) performed.
Conclusion: The high risk groups identified in this study need to be made aware of risk of developing
varicose veins. Use of compression stocking at work place added with newer procedure in management
could help in betterment in their quality of life.