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Research Paper | General Surgery | India | Volume 12 Issue 5, May 2023

Observational Study on Incidence of Peripheral Arterial Disease in Patients with Varicose Veins and Need for Concomitant Treatment of Both Arterial Disease and Venous Disease in a Tertiary Care Centre

Dr Jino Joseph | Dr. P. G. Mohandas

Abstract: Introduction: Chronic venous insufficiency is the disease of human venous system, mostly caused by venous reflux, which is a result of ineffective venous valves. Peripheral arterial disease is a localized form of systemic atherosclerosis. Symptoms like pain and leg ulcers can be the presenting feature in both varicose veins and peripheral arterial diseases, it is important to differentiate the two diseases and to rule out the concomitant occurrence. Materials and Methods: Study design used was prospective observational method with a sample size of 350 patients. Study was done on all patients fulfilling inclusion criteria in our department of general surgery at KMCT medical college hospital using a structured proforma. Diagnosis was made by clinical and radiological examination. Data was entered into Microsoft software and association between the factors were assessed using chi square test and student t test. Results: The mean age of the study population was found to be 52.24+ 6.976 years with a minimum age of 22 and maximum of 67 years with almost ?th of the study population (74%) belonged to males.83.4% of the study population had type II diabetes mellitus as a comorbidity. It was noted from the study that 219 (62.6%) among 350 had an incidence of POVD along with varicose veins. Incidence of PVOD as per the current study among the study population was found to be 62.6% (n=219). Among 219 who underwent treatment for POVD, 77% (n=169) benefitted from the medication whereas 23% didn?t had any benefit. Conclusion: Association between the co existance of arterial and venous diseases is statistically significant which shows the need for evaluation of arterial status of those patients with varicose veins. Also the concomitant treatment of both arteriovenous disease showed significant benefits in healing and overall outcome of the patient.

Keywords: chronic venous insufficiency, peripheral arterial disease, varicose vein, arterial doppler, venous doppler, peripheral occlusive vascular disease

Edition: Volume 12 Issue 5, May 2023,

Pages: 2556 - 2559