Research ArticleOpen AccessGoogle Scholar indexed
Surgical Management of Varicose Veins of the Lower Limbs: Retrospective Study of 280 Patients
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 1 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 2 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 3 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 4 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 5 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 6 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 7 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 8 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 9 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 10 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 11 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 12 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 13 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 14 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 15 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 16 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
- 17 Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier National Universitaire de FANN, Dakar, Senegal
Surgical Science·Volume 16 (2025)·Pages 110–114·Published 13 February 2025·DOI10.4236/ss.2025.162012
Copy link · social · email
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.
KeywordsVaricose VeinsLower LimbsStripping
- Perrin, M. (2010) Chirurgie des Varices. Stripping versus the CHIVA Method: A Randomized Controlled Trial. Phlébologie , 63, 73-74.
- Dieng, P.A., et al . (2014) Surgical Treatment for Legs Varicose Veins in Dakar: Retrospective Study of 91 Case. Journal Africain de Chirurgie , 3, 23-27.
- Diarra, O., Bâ, M., Kane, O., Sankalé, A.A., Ndiaye, A., Ciss, G., Dieng, P.A. and Ndiaye, M. (2003) Pathologie variqueuse des membres inférieurs: À propos de 52 cas opérés au CHU de Dakar. e - mémoires de l ’ Académie Nationale de Chirurgie , 2, 35-38.
- Diallo, G., Ongoiba, N., Diallo, Y. and Keita, S. (1998) Varices des membres inférieurs: Traitement chirurgical à propos de 60 cas opérés. Annales de Chirurgie , 52, 210-215.
- Ayachi, Y. and Essafi, N. (1984) Varices des membres inférieurs à propos de 124 cas opérés de 1977 à 1981. Tunisie Médicale , 4, 47-49.
- Bensaid, Y., Ammar, F. and Dhobb, M. (1982) Varices des membres inférieurs à propos de 254 cas. Revue M édicale Internationale M aghrébine , 13, 85-87.
- Occeilli, R. and Langle, I. (1970) Varices, statistiques et traitement. Revue du Praticien , 13, 82-86.
- Gerson, L. (1973) Statistique de 428 cas de varices des membres inférieurs, traitées non chirurgicalement. Angeiologie , 33, 109-123.
- Dhobb, M. (1998) Chirurgie des varices des membres inférieurs à propos de 75 cas opérés. Espérance Médicale , 5, 299-305.
- Perrin, M. (1991) Compression élastique et chirurgie veineuse. Phlébologie , 36, 75-80.
- Frileux, C. and Corner, J.M. (1989) Chirurgie des varices des membres inférieurs à propos de 125 cas. Journal des Maladies Vasculaires , 12, 106.