Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins

Introduction: Varicose vein of the lower extremity is a very common problem and is associated with severe morbidity if left untreated. Recurrence is inevitable if preoperative assessment of incompetence is not accurate. This study aims to compare the accuracy of clinical tests and Doppler ultrasound...

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Main Authors: M Ajoo Anto Prabhu, K G Natarajan, S Robinson Smile
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2017;volume=4;issue=2;spage=51;epage=53;aulast=Prabhu
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author M Ajoo Anto Prabhu
K G Natarajan
S Robinson Smile
author_facet M Ajoo Anto Prabhu
K G Natarajan
S Robinson Smile
author_sort M Ajoo Anto Prabhu
collection DOAJ
description Introduction: Varicose vein of the lower extremity is a very common problem and is associated with severe morbidity if left untreated. Recurrence is inevitable if preoperative assessment of incompetence is not accurate. This study aims to compare the accuracy of clinical tests and Doppler ultrasound in the localization of incompetence with the Turner Warwicks bleed back sign at operation. Materials and Methods: This is a prospective study of patients with lower limb varicose veins admitted to the department of general surgery. 53 limbs were studied in 50 patients. They were evaluated by clinical tests and Doppler ultrasound. Results: Saphenofemoral incompetence was correctly diagnosed in all 53 limbs both by clinical test and Doppler ultrasound. In the evaluation of perforator competency, the sensitivity was 82.93% by clinical tests and 97.56% by Doppler ultrasound. Conclusion: Doppler ultrasound evaluation of the varicose veins should be done for accurate diagnosis in all patients before planning surgery.
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spelling doaj.art-c96dc28d0c5e4b699ac9054b2af61c5b2022-12-22T03:30:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992017-01-0142515310.4103/ijves.ijves_5_17Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veinsM Ajoo Anto PrabhuK G NatarajanS Robinson SmileIntroduction: Varicose vein of the lower extremity is a very common problem and is associated with severe morbidity if left untreated. Recurrence is inevitable if preoperative assessment of incompetence is not accurate. This study aims to compare the accuracy of clinical tests and Doppler ultrasound in the localization of incompetence with the Turner Warwicks bleed back sign at operation. Materials and Methods: This is a prospective study of patients with lower limb varicose veins admitted to the department of general surgery. 53 limbs were studied in 50 patients. They were evaluated by clinical tests and Doppler ultrasound. Results: Saphenofemoral incompetence was correctly diagnosed in all 53 limbs both by clinical test and Doppler ultrasound. In the evaluation of perforator competency, the sensitivity was 82.93% by clinical tests and 97.56% by Doppler ultrasound. Conclusion: Doppler ultrasound evaluation of the varicose veins should be done for accurate diagnosis in all patients before planning surgery.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2017;volume=4;issue=2;spage=51;epage=53;aulast=PrabhuClinical testsDoppler ultrasoundvaricose veinsTurner-Warwicks bleed back sign
spellingShingle M Ajoo Anto Prabhu
K G Natarajan
S Robinson Smile
Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
Indian Journal of Vascular and Endovascular Surgery
Clinical tests
Doppler ultrasound
varicose veins
Turner-Warwicks bleed back sign
title Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
title_full Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
title_fullStr Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
title_full_unstemmed Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
title_short Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
title_sort comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
topic Clinical tests
Doppler ultrasound
varicose veins
Turner-Warwicks bleed back sign
url http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2017;volume=4;issue=2;spage=51;epage=53;aulast=Prabhu
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AT kgnatarajan comparisonofclinicaltestsanddopplerultrasoundinthepreoperativeassessmentoflowerextremityvaricoseveins
AT srobinsonsmile comparisonofclinicaltestsanddopplerultrasoundinthepreoperativeassessmentoflowerextremityvaricoseveins