Korean J Thorac Cardiovasc Surg.
1999 Nov;32(11):1036-1041.
Clinical Analysis of Varicose Veins in the Lower Extremities:
an analysis of 227 operative cases
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, Ewha Womans University,
Ewha Medical Center Medical Research Center.
gratia@unitel.co.kr
Abstract
-
BACKGROUND: To know the clinical aspects of varicose vein and the effectiveness of
operative treatment, the patients who had been operated during the five and a half years
were reviewed.
MATERIAL AND METHOD: From September 1993 to February 1999, 227 patients with varicose vein
were operated upon. These patients were reviewed with history taking, physical examination,
laboratory tests, operation and follow up visits at an out patient department.
RESULT: The ages of the patients were from 20 to 69 years, mean 40.2 years. varicose veins.
Occupations of the patients include housewives, store or factory owners, cooks, waiter or
waitresses in a restaurant, salary men(women), teachers, hair stylists, professional athletes,
in sequence, most of them require standing all day long. The 126 women had experienced
child birth, among them 116 patients delivered more than 2 babies. All patients had
protruding leg veins as the symptom. Most of them(61%) had pain. Other additional symptoms
were heaviness, heatness, tingling, cramp, fatigue, etc. 68.3% of the patients had the
symptoms for more than 10 years. Anatomical location of varicose vein was in long saphenous
vein in 157 patients, in small saphenous vein in 27, and in other regions(combined or
perforating vein) in 43 patients. There was no operative mortality. There were 2 patients
who underwent reoperation due to recurrence during this study period. In one patient,
it recurred in the distal perforating vein in small saphenous vein. The other patient had
recurrence at the saphenofemoral junction in groin. The patients are doing well after the
reoperation, but a long term observation is needed.
CONCLUSION
Clinical aspects of varicose vein were reviewed. For the patients with varicose
vein who had saphenofemoral regurgitation, operative treatment seemed to bea safe and
effective modality of treatment.