Smoking cessation is recommended. The elevation of members, facilitating venous return and decompression of varices. The management of varices vein was the subject of publication of recommendations of American Society for Vascular Surgery (varicose veins Austin). Uncomplicated and not symptomatic varices requires no medical or surgical treatment except for aesthetic purposes.
The indication for treatment of spider vein is simple only cosmetic. Several methods are available as sclerotherapy, thermocoagulation or application of laser. Sclerotherapy allows an improvement in 70% of cases. 5 and port of contention for a few weeks after the sessions. Radical measures are mostly remove reflux in pathological vein, either by surgery or by sclerosis, that it be chemical (injections) or physical (closure, Laser).
However, stripping by invagination is more common. This method consists of returning the saphenous vein on itself, such as a glove, on a wire. This is less traumatic for the patient and thus limits postoperative hematoma. After stripping, small residual varices collaterals can be removed for a better aesthetic result. Tiny incisions is made by the surgeon through which the residual vein are extracted with a hook. This technique is called phlebectomy.
Compression stockings are used to compress the dilated vein and restore a better blood circulation. Depending on the level, we talk about low or tights or socks. There are several compression forces adapted to evolution of disease and the products are purchased in pharmacies and orthopedic shops. It is useful to wear them as often as possible, hence the importance of choosing a product adapted to morphology and each activity. However, there are many cases where installation is difficult (pain, joint problems ...) or poorly tolerated (heat ...).
A varices is called primary when it occurs by itself without mechanical causal factor. It is called secondary when it occurs due to another underlying problem such obstruction on deep vessels (takes it as an alternative lane), deep venous reflux (due to a congenital absence of venous valves or a post-thrombotic destruction) or more rarely in arteriovenous shunt (pathological connection of an artery directly into a vein).
The CHIVA stands cure "Conservative and Hemodynamics of Venous Insufficiency in Ambulatory" 14.15. The operation consists in one to four small incisions on average, under local anesthesia, to remove ligatures by specific abnormal blood flow due to valvular incontinence and responsible for the varices dilatation of veins. The patient goes home the same day. This method tends to correct venous function in order to cure the symptoms of venous insufficiency such as varices vein, edema.
There are different surgical techniques for operating varices vein. But most practiced is the stripping, also called stripping. When the main valves saphenous show no abnormalities, simple extraction of varices branches is possible. By cons when varices vein are important and there he insufficient valves saphenous trunks, stripping is necessary.
Stripping involves removing the saphenous vein, usually with its branches "stripping plus phlebectomies" under general anesthesia or spinal anesthesia anesthesia lumps. The operation takes place in three stages: the ligation, stripping itself and elimination of small residual varices (phlebectomy. Crossectomy involves interrupting the connection between the diseased vein and the deep venous system. For the great saphenous vein, an incision is made in groin, another ankle or hock and the small saphenous vein, an incision behind the knee and the second also at the ankle or calf. Ligation will be performed where the vein empties into deep venous system.
The indication for treatment of spider vein is simple only cosmetic. Several methods are available as sclerotherapy, thermocoagulation or application of laser. Sclerotherapy allows an improvement in 70% of cases. 5 and port of contention for a few weeks after the sessions. Radical measures are mostly remove reflux in pathological vein, either by surgery or by sclerosis, that it be chemical (injections) or physical (closure, Laser).
However, stripping by invagination is more common. This method consists of returning the saphenous vein on itself, such as a glove, on a wire. This is less traumatic for the patient and thus limits postoperative hematoma. After stripping, small residual varices collaterals can be removed for a better aesthetic result. Tiny incisions is made by the surgeon through which the residual vein are extracted with a hook. This technique is called phlebectomy.
Compression stockings are used to compress the dilated vein and restore a better blood circulation. Depending on the level, we talk about low or tights or socks. There are several compression forces adapted to evolution of disease and the products are purchased in pharmacies and orthopedic shops. It is useful to wear them as often as possible, hence the importance of choosing a product adapted to morphology and each activity. However, there are many cases where installation is difficult (pain, joint problems ...) or poorly tolerated (heat ...).
A varices is called primary when it occurs by itself without mechanical causal factor. It is called secondary when it occurs due to another underlying problem such obstruction on deep vessels (takes it as an alternative lane), deep venous reflux (due to a congenital absence of venous valves or a post-thrombotic destruction) or more rarely in arteriovenous shunt (pathological connection of an artery directly into a vein).
The CHIVA stands cure "Conservative and Hemodynamics of Venous Insufficiency in Ambulatory" 14.15. The operation consists in one to four small incisions on average, under local anesthesia, to remove ligatures by specific abnormal blood flow due to valvular incontinence and responsible for the varices dilatation of veins. The patient goes home the same day. This method tends to correct venous function in order to cure the symptoms of venous insufficiency such as varices vein, edema.
There are different surgical techniques for operating varices vein. But most practiced is the stripping, also called stripping. When the main valves saphenous show no abnormalities, simple extraction of varices branches is possible. By cons when varices vein are important and there he insufficient valves saphenous trunks, stripping is necessary.
Stripping involves removing the saphenous vein, usually with its branches "stripping plus phlebectomies" under general anesthesia or spinal anesthesia anesthesia lumps. The operation takes place in three stages: the ligation, stripping itself and elimination of small residual varices (phlebectomy. Crossectomy involves interrupting the connection between the diseased vein and the deep venous system. For the great saphenous vein, an incision is made in groin, another ankle or hock and the small saphenous vein, an incision behind the knee and the second also at the ankle or calf. Ligation will be performed where the vein empties into deep venous system.
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