Frequency of Sapheno-Femoral Junction and Sapheno-Popliteal Junction Incompetence on Duplex Ultrasonography in Patients with Varicose Veins

Muhammad Haris Rauf; Atiq-Ur-Rehman Slehria; Imran Masoud Qasmi; Sultan Saleem; Marium Sohail

doi:10.51253/pafmj.v72i1.4071

Authors

Muhammad Haris Rauf Combined Military Hospital Rawalakot/National University of Medical Sciences (NUMS) Pakistan
Atiq-Ur-Rehman Slehria Armed Forces Institute of Radiology & Imaging/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Imran Masoud Qasmi Begum Akhtar Ruksana Memorial Trust Hospital, Rawalpindi Pakistan
Sultan Saleem Combined Military Hospital Risalpur/National University of Medical Sciences (NUMS) Pakista
Marium Sohail Combined Military Hospital Rawalakot/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i1.4071

Keywords:

Duplex ultrasonography (DUS), Incompetence, Sapheno-femoral junction (SFJ), Sapheno-popliteal junction (SPJ), Varicose vein

Abstract

Objective: To determine frequency of sapheno-femoral junction (SFJ) and sapheno-popliteal junction (SPJ) incompetence on duplex ultrasonography in patients with varicose veins.
Study Design: Cross-sectional study.
Place and Duration of Study: Shaikh Khalifa Bin Zayed Al-Nahyan/Combined Military Hospital, Rawalakot, Azad Jammu & Kashmir, from Aug 2019 to Feb 2020.
Methodology: A total of 70 patients were selected using non-probability, consecutive sampling. After ethical approval, informed consent and relevant history taking, duplex ultrasonography (DUS) was done in standing and supine positions in patients with varicose veins, fulfilling inclusion and exclusion criteria. Presence or absence of SFJ and SPJ incompetence was assessed.
Results: Mean age was 41.99 ± 11.08 years with 36 (51.43%) patients between 36-50 years. Mean duration of disease was 6.33 ± 2.29 months while 47 (67.14%) patients had symptoms for more than 6 months at the time of presentation. Occupation wise, 40 (57.14%) patients were field workers while 30 (42.86%) were office and domestic workers. Isolated SFJ, SPJ and combined junction incompetence were found in 27 (38.57%), 20 (28.57%) and 23 (32.86%) patients respectively. Both SFJ and SPJ incompetence were more in obese patients (78.6% and 71.4% respectively) as compared to non-obese patients.

Conclusion: Frequency of SFJ incompetence was more than SPJ incompetence on DUS. Obesity, male gender and prolonged motionless standing predispose to the development of varicose veins. Preventive measures and early diagnosis can decrease disease burden.