Abstract

ABSTRACT:
BACKGROUND:
Varicose Veins is a common problem in our population and there are many factors which aggravate its progress.
OBJECTIVE:
In this study the author concern on analysis of risk factors which aggravate varicosities and management of these cases either surgical or conservative.
PATIENTS AND METHODS:
A prospective study is carried on 85 patients with varicose veins from September 2008 to September 2014 at Al-yarmook Teaching Hospital and private sector. History, clinical examination and Color Duplex Imaging were done for all patients and then they were divided into two groups according to the causes of development of varicosity and method of management, group-A include 55 patients (65 Limbs) who were managed surgically while group-B include 30 patients who were managed by conservative methods.
RESULTS:
After a mean follow up period of 30 months (rang from12-42 months). Regarding group-A patients, 46 patients (55 limbs=84.6%) got good results, while six patients (6 limbs=9.2%) developed variable degree of post operative foot and leg edema, in three patients (Four limbs=6.2%) recurrence developed after three years postoperatively. Regarding group-B patients they expressed improvement in their symptoms by conservative measures and life style modification that help to stop the progress of varicosity.
CONCLUSION:
Varicose Veins is a common condition with many causes and aggravating factors, surgery is excellent method to manage extensive varicosities while conservative method is suitable in certain inoperable conditions.