title: Varicose veins: clinical presentation and surgical management.
abstract: BACKGROUND
  Varicose vein is a common surgical problem. We studied clinical presentation of varicose veins and its surgical treatment.
  
  
  METHODS
  All patients with varicose veins presented to our hospital were included in the study. All patients in our study were assessed by clinico etiological Anatomical and pathological (CEAP) classification. Diagnosis was further confirmed by Duplex ultrasonography
  
  
  RESULTS
  Surgery was prefered for 34 out of 40 patients. Remaining 6 patients were treated conservatively because 3 patients were pregnant and 3 had deep vein thrombosis (DVT). We have used Trendelenburg's operation with stripping in 30 out of 34 cases. We find this method to be satisfactory.
  
  
  CONCLUSIONS
  Meticulous clinical examination and surgical technique followed by closely monitored post operative management is required to reduce morbidity of varicose veins. Trendelenburg's operation with subfascial ligation has given good results in our set up.
authors.affiliation: Department of Surgery, DY Patil Medical College Pimpri, Pune, India.
authors.forename: Goutham Reddy
authors.initials: GR
authors.lastname: Kompally
authors.forename: R N Satish
authors.initials: RN
authors.lastname: Bharadwaj
authors.forename: Gurjit
authors.initials: G
authors.lastname: Singh
keywords: Lipodermatosclerosis; Thrombophlebitis; Varicose veins; Venous ulcer