Abstract

Aim : To describe epidemiological, clinical, etiologic, and therapeutic aspects of lower limbs varicose veins.

Patients-methods : It was a retrospective study, carried out from May 2016 to June 2018 at Brazzaville teaching hospital. All patients who has been operated and medical records had surgical approach data were included. Patients were classified according to modified Hawai 2004 classification. Surgery and sclerotherapy were principals approaches used. Variables were ;demographic, clinicals etiologic, and therapeutic.

Results : Forty five patients were operated, with average age of 42+/-2,5 ans. Sex ratio was 0,8. More than ninety percent of patients were symptomatic before treatment. Heaviness limbs was the most representative symptoms. Twenty six-seven percent of patients were admitted in stage C3. Varicose veins were essential in 55,5%, follow by post thrombotic varices with 17,8%. Superficial venous were more affected, and reflux was mojor pathophysiologic mechanism in 68,5%. Saphenous-femoral ligation with strippind and phlebectomies was the principal surgical technic. There were two cases of recidivism varicose veins after sclerotherapy.

Conclusion : Varicose veins treatments in our context are still dominated by surgical approach. It will be better to add new vascular technics in our facility. Key words : Varicose veins, lower limbs, Brazzaville teaching hospital.