PATTERN OF PRESENTATION OF CHRONIC VENOUS INSUFFICIENCY IN A TERTIARY CENTRE AND CORELATION OF DISEASE SEVERITY WITH DUPLEX FINDINGS.

CHANDRASEKARAN SUKUMARAN; SIDDHARTH MATAD; SASI M PARAMBIL; MUHAMMAD NAVAS NK

Volume : VII, Issue : X, October - 2017

PATTERN OF PRESENTATION OF CHRONIC VENOUS INSUFFICIENCY IN A TERTIARY CENTRE AND CORELATION OF DISEASE SEVERITY WITH DUPLEX FINDINGS.

Chandrasekaran Sukumaran, Siddharth Matad, Sasi M Parambil, Muhammad Navas Nk

Abstract :

OBJECTIVE: – The purpose of the study was to identify the pattern of presentation of chronic venous insufficiency in our hospital and also to correlate the clinical features with sonologically proven venous reflux.

MATERIALS AND METHODS: – Retrospective study design. All patients who underwent venous intervention in the department of general surgery of this hospital between July 2016 and 2017 were included in the study. Secondary varicose veins and recurrent varicose veins were not included in the study. Data was collected by analyzing inpatient case records.

RESULTS: – A total of 288 patients were included in the study. 214 were males and 74 were females. Of the 74 females 67 had advanced CVI (90%) compared with 55 % in males. there was a strong left sided predominance in the laterality of presentation. 178 had advanced CVI with either C4, 5 or 6 diseases at the time of intervention. The most common contributory duplex anomaly was incompetence in the SFJ with perforator incompetence (110 patients)

CONCLUSION: – Smoking in males and Multiparous status in females were always associated with associated with advanced venous insufficiency. There was strong correlation between clinical disease severity and nature of venous reflux demonstrated in duplex scan.