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.
It is a multifactorial disease in which heredity, physical inactivity, overweight, exposure to heat and pregnancy are the main risk factors. Dilation of affected vein disrupts the unidirectional flow of blood to heart, the valves no longer ensure their anti-reflux function. It is a breach of wall of vein. Heredity is one of causes of varices. The more he has a family member with varices, the risk is great to have one day. The risk of developing varices for a person whose both parents are affected would be 90%.
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.
After the vein has been removed, the blood will continue to flow in leg as it borrow other vein located deeper into leg. The two members can be made the same day and the procedure takes 15 to 40 minutes per member. Venous insufficiency is a progressive disease. Therefore, even if a varices vein that has been properly removed can not return, other vein can become varices. Therefore, regular monitoring of venous system is important in order to avoid the appearance of new varices vein.
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).
To determine the insufficient saphenous vein, the surgeon will prescribe a Doppler examination, that is to say, an ultrasound examination for exploring intravascular blood flow. Vascular doctor will be able to map the vein which will locate the reflux and leakage points and determine the main superficial vein that are healthy. Before the intervention, it is important to shave the legs and wash with Betadine before arriving at the hospital. The surgeon will mark the previously felt pen varices vein to properly identify varices branches a few hours before the operation.
If it is known as varices vein will gradually dilated by the normal tissue drainage that can not borrow the destroyed vein (not conservative methods: stripping, phlebectomy, laser, radiofrequency sclerosis, etc.), we understand why the cure Chiva, respectful vein and drainage, is followed by recurrence 2 to 5 times less frequent after stripping after ten.
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.
It is a multifactorial disease in which heredity, physical inactivity, overweight, exposure to heat and pregnancy are the main risk factors. Dilation of affected vein disrupts the unidirectional flow of blood to heart, the valves no longer ensure their anti-reflux function. It is a breach of wall of vein. Heredity is one of causes of varices. The more he has a family member with varices, the risk is great to have one day. The risk of developing varices for a person whose both parents are affected would be 90%.
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.
After the vein has been removed, the blood will continue to flow in leg as it borrow other vein located deeper into leg. The two members can be made the same day and the procedure takes 15 to 40 minutes per member. Venous insufficiency is a progressive disease. Therefore, even if a varices vein that has been properly removed can not return, other vein can become varices. Therefore, regular monitoring of venous system is important in order to avoid the appearance of new varices vein.
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).
To determine the insufficient saphenous vein, the surgeon will prescribe a Doppler examination, that is to say, an ultrasound examination for exploring intravascular blood flow. Vascular doctor will be able to map the vein which will locate the reflux and leakage points and determine the main superficial vein that are healthy. Before the intervention, it is important to shave the legs and wash with Betadine before arriving at the hospital. The surgeon will mark the previously felt pen varices vein to properly identify varices branches a few hours before the operation.
If it is known as varices vein will gradually dilated by the normal tissue drainage that can not borrow the destroyed vein (not conservative methods: stripping, phlebectomy, laser, radiofrequency sclerosis, etc.), we understand why the cure Chiva, respectful vein and drainage, is followed by recurrence 2 to 5 times less frequent after stripping after ten.
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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