Management of Varicose Vein by Hirudotherapy

Arsheed Iqbal¹ , Haider Ali Quraishi² , Huma ³ , Arjumad Shah⁴ , Adil Rashid⁵ , Raheem A⁶

Section:Research Paper, Product Type: Isroset-Journal
Vol.6 , Issue.2 , pp.43-49, Apr-2019

CrossRef-DOI:   https://doi.org/10.26438/ijsrbs/v6i2.4349

Online published on Apr 30, 2019

Copyright © Arsheed Iqbal, Haider Ali Quraishi, Huma, Arjumad Shah, Adil Rashid, Raheem A . This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

View this paper at   Google Scholar | DPI Digital Library

XML View     PDF Download

How to Cite this Paper

468 Views    275 Downloads    92 Downloads

Abstract :
Varicose veins are veins that have become enlarged and twisted and are commonly found in legs. The calf muscles of the leg pumps. The venous blood back to the heart against the gravity. When the veins become varicose the valves do not function properly as the blood flows backwards and the veins engorge. The varicose veins are most common in the superficial veins of legs and due to high pressure while standing the veins engorging and ulceration can occur. Only ten percent of the venous blood in the legs is returned back by superficial veins, hence the surgical removal can be opted for superficial varicose veins. Other modalities of treatment included sclerotherapy, elastic stockings, leg elevation, exercise, radiofrequency ablation, endovascular laser treatment etc. In this study Hirudotherapy has been done at Regional Research Institute of Unani Medicine, Srinagar for the treatment of varicose vein and has been observed that leech relieves the symptoms of the varicosity by reducing the engorgements of the superficial leg veins and also improve the venous valvular functioning and thus helps to push the blood normally without regurgitation.

Key-Words / Index Term :
Hirudotherapy, Leech, Varicosevein, Doppler, Regurgitation

References :
[1]. Tibbs DJ. Varicose veins and related disorders. Butterworth-Heinemann; 1992.First edition 25-26.
[2]. Pavan Prasad BK, Prem Kumar A. Clinical Study of varicose veins and their management. International Journal Biomed Advance Res. 2015; 6(08):564-8
[3]. Itrat M, Zarnigar, Haque N. Historical Aspect of Leech Therapy: A Critical Review. International Journal of Health Science and Research. 2013; 3(7):78-83.
[4]. Ng M, Andrew T, Spector T, Jeffery S (2005). "Linkage to the FOXC2 region of chromosome 16 for varicose veins in otherwise healthy, unselected sibling pairs". Journal of Medical Genetics. 42 (3): 235–9. doi:10.1136/jmg.2004.024075. PMC 1736007. PMID 15744037.
[5]. Hobbs JT (October 2005). "Varicose veins arising from the pelvis due to ovarian vein incompetence". Int J Clin Pract. Int J Clin Pract. 59: 1195–203. doi:10.1111/j.1368-5031.2005.00631.x. PMID 16178988.
[6]. Giannoukas AD, Dacie JE, Lumley JS (July 2000). "Recurrent varicose veins of both lower limbs due to bilateral ovarian vein incompetence". Ann Vasc Surg. 14: 397–400. doi:10.1007/s100169910075. PMID 10943794.
[7]. Marsh P, Holdstock J, Harrison C, Smith C, Price BA, Whiteley MS (June 2009). "Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service District General Hospital". Phlebology. 24: 108–13. doi:10.1258/phleb.2008.008041. PMID 19470861.
[8]. Whiteley MS (September 2014). "Part One: For the Motion. Venous Perforator Surgery is Proven and Does Reduce Recurrences". European Journal of Vascular and Endovascular Surgery. 48 (3): 239–42. doi:10.1016/j.ejvs.2014.06.044. PMID 25132056.
[9]. Rutherford EE, Kianifard B, Cook SJ, Holdstock JM, Whiteley MS (May 2001). "Incompetent perforating veins are associated with recurrent varicose veins". European Journal of Vascular and Endovascular Surgery. 21 (5): 458–60. doi:10.1053/ejvs.2001.1347. PMID 11352523
[10]. Shenoy KR. Varicose veins and deep vein thrombosis. Manipal manual of surgery 2009, Millennium edition: 87-89.
[11]. Phipps, Sands, Marek. Medical surgical nursing 6th ed. Philadelphia: Mosby Publication; 1999
[12]. Health J. varicose veins and spider veins. [online] Available from:http;//body and fitness.com/information/womenhealth/varicose.htm.
[13]. Campbell B (2006). "Varicose veins and their management" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC152694 5). BMJ. 333 (7562): 287–92. doi:10.1136/bmj.333.7562.287 (https://doi.org/10.1136%2Fbmj.333.7562.287). PMC 1526945 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1526945). PMID 16888305 (https://www.ncbi.nlm.nih. gov/pubmed/16888305).
[14]. Curri SB et al. (1989) "Changes of cutaneous microcirculation from elasto-compression in chronic venous insufficiency". In Davy A and Stemmer R (eds.) Phlebology `89, Montrouge, France, `John Libbey Eurotext.