Online ISSN: 2515-8260

Keywords : Doppler

Clinical Study of Primary Vericose Veins and its Complications

Azaharuddin Mohammad, Vikram Reddy G

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1245-1252

Background: Varicose veins are the most common chronic vascular disorders requiring
surgical treatment at one stage or other. Though considerable advances in
understanding of venous patho physiology and modern imaging techniques have
revolutionized the concept of management of varicosity of lower limb, the treatment of
primary varicose veins still remain unsatisfactory. Objectives of the Study: To study the
clinical signs & symptoms of the patients admitted for varicose veins. To study the
prevalence of varicose veins in the patients admitted to Govt Medical College &
Hospital, Suryapet, To study the age & sex distribution, To study the complications of
varicose veins, To evaluate & manage the varicose veins & its complications, To study
the outcome of surgery.
Materials and Methods: A prospective follow up study was undertaken for 40 patients
who were admitted for various symptoms of varicose vein during August 2012 to
August 2014. They were subjected to detailed history taking and examination with
relevant investigations including Doppler venous study and were subjected to
treatment. They were followed up to assess long-term morbidity and late complications.
Results: Total 40 patients admitted for varicose veins admitted during the period from
Aug 2020 to Aug 2021 were studied. Out of 40 patients studied, 24 (60%) patients were
agriculturists, who admitted of having been exposed to prolonged hours of standing
.Among the 40 cases studied, 57 limbs showed varicose veins, of which 32limbs had long
saphenous vein and communicating system involvement (64%). 20 limbs had long
saphenous vein involvement (40%) alone. Among 32 limbs with long saphenous
and communicating system involvement, 45 had pain (90%), 12 had edema (24%), 29
had disfigurement (58%), 14 ulcers (28%). Of the 46 limbs that underwent surgery 26
(52%) underwent saphenofemoral flush ligation with stripping of LSV and subfascial
ligation of perforators & 10 (20%) underwent saphenofemoral flush ligation alone.
Conclusion: Definite relationship exists between occupation involving prolonged
standing and primary varicose veins. The involvement of long saphenous and
communicating system together is commonest followed by long saphenous involvement
alone. Patients with involvement of long saphenous and communicating system or long
saphenous and short saphenous system were more symptomatic than others
Complications of varicose veins were responded well to operative treatment. Results of
surgical treatment are good.

Colour Doppler EvaluationofExtracranial Carotid Vessels in Patients of Coronary Artery Disease

Mandakini Keesara, Madhavi Thatipamula

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10013-10021

Background:Carotid disease i s a common finding in patients with CAD & its presence
is associated with worse clinical outcomes, IMT provides incremental value over the
traditional risk factors in predicting cardiovascular events. Ultrasonography of the
carotid arteries is easily available, cost effective, non-invasive method ofevaluation. The
purpose of the present study is to evaluate the severity of atherosclerosis in extracranial
carotid vessels in patients diagnosed of coronaryartery disease.
Materials and Methods: The present study included 30patientsdiagnosedascoronary
artery disease by coronary angiogram. The conclusions of coronary angiogram were not
made available to theradiologist. Thepatients included in the study were subjected to
gray scale &color duplex examination of extracranial carotid arteries. The presence &
severity of atherosclerotic disease in the extracrani al carotid vessels will be assessed
interms of increased IMT and plaques.Luminalnarrowing andspectral wave pattern
were evaluated.
Results: Among the 30patients examined, 25patients hadcarotiddisease in the form of
increased IMT inone ormore ofthe examined vessels. Highest number of plaques were
noted in the carotid bulb followed by internal carotid artery. Most of the examined
plaques had uniform surface and were predominantly echolucent. The severity of
coronary disease i s correlated with the carotid atherosclerosis.
Conclusion: With the increase in the number of coronary vessels involved, there was an
increase in the percentageofpatientswithcarotiddiseaseinthe form of increased IMT or
plaque. There was also increase in the percentage
ofpatientswithcarotiddiseasewithincreaseintheseverity ofcoronary stenosis.

EvaluationHigh-Resolution Sonography and Colour Doppler in assessment of Complicated Anterior Abdominal Wall Hernia

Yara Ibrahim Abdel Hamid, Enas Mohamed Khattab, Ahmed Abdel Azim Isamail,Sameh Saber Baioumy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4087-4096

Background: There are wide range of pathology affecting the anterior abdominal
wall which range from simple fluid collection to hernias to complex neoplasms.
Anterior abdominal wall hernias are the most common lesion of anterior
abdominal lesions. The aim of the present study was to evaluate high-resolution
sonography and colour Doppler in assessment of complicated anterior abdominal
wall hernia. Patients and methods: This study includes (48) patients were referred
for sonography due to vomiting and abdominal pain of unobvious cause. Patients
were subjected to full clinical examination and high-resolution Ultrasound and
Doppler examination and X-Ray for intestinal obstruction if needed. Results: Mean
defect size of hernia associated with bowel ischemia was 1.3±0.85 cm while the
bowel wall thickness mean was 4.1 ±0.3 mm, in contrary, the mean defect size of
hernia with non-ischemic bowel was 2.9 ±0.65 cm and the bowel wall thickness
mean was 2.2 ±0.89 mm. Among the studied group, Reduction of viable loops and
herniorrhaphy were done in 45.8 % of patients, Reduction of viable loops and
hernioplasty in 22.9% of cases, while resection and primary anastomosis were done
in (14.6) of cases. The ultrasound finding comparing with the operative data
revealed that ultrasound had 100% sensitivity, while accuracy in diagnosis of
peristalsis, bowel irreducibility, bowel thickness was ranged from 93.4% to 98.8%.
Also Doppler accuracy was 100% Conclusion:High-resolution ultrasonography
(US) is non-invasive, safe and effective and simple diagnostic tool for detecting the
presence of abdominal wall hernias and accurately detecting the contentand the
possible associated complications.

Assessment of effectiveness of Doppler in Patients with Pregnancy Induced Hypertension

Naresh Kumar, Rajesh K Badhan

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 2687-2690

Background:Hypertensive disorder of pregnancy is a major cause of maternal and perinatal
morbidity and mortality in developing countries. The obstetrical use of Doppler sonography for
monitoring high-risk pregnancies is today an indispensable procedure. Hence; the present study
was conducted for assessing the effeteness of Doppler in Patients with Pregnancy Induced
Hypertension.Materials & methods: A total of 20 pregnant patients between 28 to 36 weeks of
pregnancy clinically diagnosed as PIH. Control group comprised of 20 patients with 28 to 36 weeks
with no clinically detectable hypertension. Inclusion criteria Comprised of patients with rise of
atleast 30 mm Hg and 15 mm of Hg in systolic and diastolic pressures respectively over the previous
known blood pressure, patients whose previous blood pressures were not known, the blood pressure
of atleast 140/90 mm of Hg were considered abnormal, singleton pregnancy, regular periods and
normotensive pregnant patients with gestational age between 28 to 36 weeks of gestation. Blood
pressure was recorded and ultrasound examination was done followed by Doppler. All the results
were recorded and analysed using SPSS software.Results: A total of 20 patients were included in
the study group and 20 subjects were enrolled in the control group. In the study group, normal S/D
ration was seen in 12 subjects while abnormal was seen in 8 subjects. Among the subjects with
abnormal S/D ratio, still birth and low birth weight were seen in 4 subjects and 3 subjects
respectively. Conclusion: Doppler velocimetry is useful in distinguishing the serious patients from
those where the approach can be a bit more conservative.

Program For Diagnosing The Degree Of Urodynamic Disorders And Kidney Functions And Determining Tactics Of Managing Children With Obstructive Uropathies.

Mavlyanov Farkhod Shavkatovich; Mavlyanov Shavkat Khodzhamkulovich; Shirov Timur Furkatovich; Khayitov Ulugbek Khudzhakulovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 2546-2554

Background: The objective of the study is to develop a program of scoring for determining the degree of impairment of urodynamics and the preservation of renal function in children with obstructive uropathy on the basis of data from ultrasound - Doppler studies.
Methods: The work is based on the results of ultrasound and Doppler examination of 484 children with congenital obstructive uropathy. In accordance with the obtained data, a point assessment of the degree of impairment of urodynamics and preservation of renal function was carried out in 60 children with obstructive uropathies (30 children with congenital hydronephrosis and 30 children with congenital ureterohydronephrosis).
Results: Analysis of ultrasound and Doppler studies in congenital obstructive uropathy in children by comparing the data, depending on the severity and level of obstruction, revealed 3 degrees of congenital obstruction of the upper urinary tract in children. A comparative study of the urodynamics and state of the renal parenchyma, depending on the degree of obstruction, established a close relationship between the indicators of the functional state of the renal parenchyma and the degree of dilatation and disorders of the urodynamics of the upper urinary tract.
Conclusion: The developed program allows the safe and most informative methods to reliably determine the functional state of the renal parenchyma and the degree of urodynamic impairment in children with obstructive uropathy. Study Registration ( ID NCT04605835.