[Surgical management of varicose veins of the lower extremities: a retrospective observational study at the Hassan II Regional Hospital of Agadir, Morocco]

[下肢静脉曲张的外科治疗:摩洛哥阿加迪尔哈桑二世地区医院的回顾性观察研究]

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Abstract

Varicose veins are defined as venous dilatations that become tortuous. This is a common condition in industrialised countries, affecting 30 to 40% of the general population. Varicose veins are a common reason for consultation in our practice. We conducted a retrospective case series study at the Hassan II Regional Hospital of Agadir, between April 2021 and September 2022. All patients who underwent surgery for varicose veins during this period were included. Patient data were extracted from medical records. The variables analyzed were: age, sex, reason for consultation, patient classification according to CEAP, and the surgical procedure performed. A total of 15 patients underwent surgery, with an average age of 43.6060±9.070 years, ranging from 28 to 62 years, and a sex ratio of 1.14. The main reason for consultation was phlebalgia associated with heaviness of the lower limbs in 5 patients (33.3%), and 10 patients (66.7%) had consulted at stage C2. The origin was primarily varicose veins in all patients. The most common procedure performed was crossectomy (ligation of the saphenofemoral junction) associated with stripping in 8 patients (53.3%). The postoperative outcomes were favourable, with clinical improvement and no complications reported. In our setting, varicose veins of the lower extremities are managed primarily with surgical intervention, most commonly crossectomy, either alone or in combination with stripping.

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