Study of Surgical Management of Varicose Veins in Maharashtra
Background: Varicosity of lower limb is a “penalty against the gravity” which leads to multifactorial complications such as skin pigmentations, ulceration, cramps, pain, edema, and heaviness of leg, disfigurement, and severe bleeding too, which has higher rate of morbidity.
Methods: Seventy patients aged between 32 and 65 having regularly visiting regularly to the Surgery Department of RCSM Govt. College, CPR Hospital, Kolhapur–Maharashtra.
Results: Thirty-four (48.5%) had left leg varicose, 26 (37.1%) had right varicose, 10 (14.2%) had bilateral varicose. The clinical manifestations were 26 (37.1%) had pain, 17 (24.2%) had dilatations of vein, 13 (18.5%) had ulceration, 5 (7.14%) edema, 3 (4.28%) had itching and pigmentation, 4 (5.71%) had cramps, and 2.85% had having of leg. The types of veins involved were 31 (44.2%) long saphenous venous system, 25 (35.7%) long saphenous and incompetent perforators, 8 (11.4%) were short saphenous venous system, and 6 (8.7%) had both long and short saphenous venous involvement.
Conclusion: This saphenofemoral ligation and long saphenous stripping method of surgical management was safer and has least recurrence and patients can lead normal life post-surgically..