A correlative study of venous clinical severity score (VCSS), venous disability score (VDS) and venous reflux grading by venous doppler in varicose veins of lower limbs

The study was aimed at studying the correlation between VENOUS CLINICAL SEVERITY SCORE (VCSS), VENOUS DISABILITY SCORE (VDS) AND VENOUS REFLUX GRADING BY VENOUS DOPPLER in Varicose veins of lower limbs.This study was conducted in the Department of General surgery, ESI-PGIMSR, over a period of 18months. The study group consisted of 75 patients between 24 to 75 yrs (mean 44.41 ± 12.967), inclusive of both males(n=70) and females(n=5). They were assessed for severity of varicose veins by documenting a detailed history, clinical examination findings and imaging studies on a pre structured proforma. It was found that majority of the patients were ≤ 60 yrs and the right lower limb was predominantly affected in both sexes. Using the VCSS system, 66.7%(n=50) cases had mild disease, 33.3% (n=25) cases had moderate disease and none had severe disease. In the present study, as per the VDS system, majority of the patients(n=71, 94.7%) had grade II disability. And 76%(n=57) of the patients had severe grade of venous reflux i.e. venous reflux duration >1second.A statistically significant correlation was found between clinical manifestations of varicose veins and the degree of reflux in the veins, assessed using the VCSS and VRS system, respectively.