PURPOSE: The advanced stage of chronic venous insufficiency (CVI) 4, 5, 6, which shown lipodermatosclerosis, venous ulcer might cause frustrating symptom compared with simple varicose vein. For successful treatment, precise anatomic, hemodynamic information of venous system is recommended. Although there is still controversy, duplex scan is the best way in evaluation of hemodynamic pathology. We studied key role of duplex scan in treatment of advanced CVI. METHOD: From November 1998, to February 2000, 125 patients were treated for CVI in our hospital. Of these 11 patients with class 4, 5, 6 were assessed by duplex scan, ascending venogram, hemodynamic functional studies. All venous segments were eagerly assessed for looking reflux. Except one patient who refuse surgery 10 patients received conventional surgical treatment and endoscopic perforator ligation. The one year follow up results were assessed. RESULT: 9 patients showed superficial venous reflux, 3 patients had deep venous reflux. In all 6 patients who had ulcer, incompetent perforator vein was identified. In 9 patients, stripping 8, high ligation 1, endoscopic perforator vein ligation 3 were done. During 1 year follow up clinical improvement was singificant in these 11 patients assessed with symptom scores. All ulcer were healed with average 25.3 days, and no recurrence. CONCLUSION: Although no single test was enough for perfect assessing CVI, scrupulous examination with duplex scan is best way for accomplishing successful outcome at presents.
Follow-Up Studies ; Hemodynamics ; Humans ; Ligation ; Pathology ; Recurrence ; Ulcer ; Varicose Ulcer ; Varicose Veins ; Veins ; Venous Insufficiency

No abstract available.
Varicose Veins*

No abstract available.
Varicose Veins*

Successful caudal epidural block (CEB) for various gynaecological and orthopaedic procedures requires an elaborate knowledge of anatomical profile of sacral hiatus. Varied morphology of sacral hiatus is likely to influence the success rate of CEB. Scanty literature is available on the morphometry of sacral hiatus in North Indian subjects. Therefore, sacral hiatus of 60 North Indian human sacra were evaluated using Vernier calipers. Sexing of the sacra was done by calculating the sacral index. Following parameters of sacral hiatus were observed and recorded: a) Shape, b) Level of apex, c) Maximum distance between the sacral cornua, d) Length of the sacral hiatus i.e. from its apex to midpoint of its base, e) Antero-Posterior diameter at the apex of sacral hiatus. The data obtained was analyzed using SPSS software (version 18). Various shapes of sacral hiatus were observed. It was irregularly shaped in both the sexes though inverted U shaped sacral hiatus was also seen frequently in females. In males, the apex of sacral hiatus was commonly seen at the level of spinous process of 3rd sacral vertebra in males and below the level of spinous process of 4th sacral vertebra in females. The mean distance between the sacral cornua was 1.1cm : 1.2cm in males and females, respectively. Mean length of the sacral hiatus was 2cm in both sexes. Antero-posterior depth at the apex the sacral hiatus was 6mm in both the genders. The dimensions of sacral hiatus obtained in this study were inconsistent with earlier studies. Knowledge of these dimensions may help the clinicians in precisely locating sacral hiatus for successful CEB in North Indians.
Varicose Veins

No abstract available.
Varicose Veins

No abstract available.
Varicose Veins

No abstract available.
Varicose Veins

Veins ; Varicose Veins ; Syndrome

A twenty six year old man was admitted to our clinic for bleeding from a venous ulcer of the left leg. His left femoral vein had been ligated for bleeding control after a traffic accident that happened when he was 5 years old. He had a varicose vein, stasis dermatitis, and a venous ulcer on his left leg. To shunt left femoral venous return to the right femoral vein, we did a crossover bypass with arteriovenous fistula using the right greater saphenous vein. To get good patency of the arteriovenous fistula, the bypass graft was closed 6 weeks after the initial operation. He maintained his left leg circumference relatively well for 6 months after the operation. We report the case of a patient who had a vein crossover bypass for a chronic femoral vein ligation.
Accidents, Traffic ; Arteriovenous Fistula ; Dermatitis ; Femoral Vein ; Hemorrhage ; Humans ; Leg ; Ligation ; Saphenous Vein ; Transplants ; Varicose Ulcer ; Varicose Veins ; Veins

BACKGROUND: Sclerotherapy has been introduced as a new treatment modality of varicose vein. MATERIAL AND METHOD: Ninety-four patients with the diagnosis of varicose vein were treated with sclerotherapy at Yongdong Severance Hospital, Yonsei University Medical College from September, 1997 to August, 1999. History taking, physical examinations and laboratory examinations were performed. The short term outcome and the complications were reviewed. RESULT: The age of the patients were ranged from 20 to 70 years with the mean age of 43.4 years. All the patients(28 men, 66 women) had protruding superficial leg veins and 2 local pain, 2 fatigue, 1 heaviness. Complications were fever, phlebitis and ulceration. Fifty patients were satisfied after 1 procedure. CONCLUSION: Sclerotherapy is an effective treatment modality with cosmetic superiority for the patients with varicose veins.
Diagnosis ; Fatigue ; Fever ; Humans ; Leg ; Male ; Phlebitis ; Physical Examination ; Sclerotherapy* ; Ulcer ; Varicose Veins* ; Veins