TITLE:
Surgical Management of Varicose Veins of the Lower Limbs: Retrospective Study of 280 Patients
AUTHORS:
Papa Amath Diagne, Abdoul Aziz Thiaw, Momar Sokhna Diop, Ndeye Fatou Sow, Abdoul Ahad Mbengue, Papa Ousmane Ba, Mory Camara, Soda Mareme Mbaye, Moussa Seck Diop, Jean Claude Dione, Abdoul Khoudoss Diallo, Moussa Mareme Samba, Ibrahima Wade, Anta Mbaye Sall, Magaye Gaye, Papa Adama Dieng, Amadou Gabriel Ciss
KEYWORDS:
Varicose Veins, Lower Limbs, Stripping
JOURNAL NAME:
Surgical Science,
Vol.16 No.2,
February
27,
2025
ABSTRACT: Varicose veins of the lower limbs are a cosmopolitan condition, thought to be rare in Africa but widespread in Europe. The aim of this study is to analyze the indications and evaluate the results of surgical management of varicose pathology of the IM in Dakar. We enrolled 280 patients, with a mean age of 36 and a sex ratio of 2. Factors favouring venous disease were dominated by prolonged orthostatism and multiparity. The average consultation time was 6 years. The reasons for consultation were functional manifestations, progressive complications and aesthetics. The venous trunks concerned were the great saphenous vein (GSV) in 58.9% of cases, the small saphenous vein (SSV) in 29% of cases, perforating veins and varicose veins were unsystematized in 28.5% of cases. Surgery was performed under spinal anaesthesia. Surgical procedures were dominated by stripping of the GSV, crossectomy of the SSV and staged ligations. One patient developed meningismus immediately after the operation. Average follow-up was 2 years. Mortality was null.