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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.
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 ...).
Complications can be deep phlebitis (5.3%) 12, a pulmonary embolism (0.06%), a level of complication as wound infection (2.2%), nerve damage with residual anesthetic at ankle. The recurrence rate is 5-60% at 10 years according to studies. It is also noteworthy that this surgery removes the saphenous trunks that may be useful in future if the patient needs a coronary artery bypass or members, as the saphenous trunks, even among the carrier about varices vein.
Symptoms include feeling of heavy legs and fatiguable. There may be swelling, itching. These symptoms are common but usually unrelated to presence of a vein expansion. Clinical examination should also look for a cause of high venous compression (abdominal mass, gastrointestinal symptoms ...). Doppler ultrasound allows hemodynamically, echo-marking and mapping: the Doppler information and quantifies the flow of blood in vessels with their direction and ultrasound can view the reflux bridges.
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.
Uncomplicated and not symptomatic varices vein has little risk of complicated. Various complications are the occurrence of deep vein thrombosis (or phlebitis), rupture with hemorrhage, ulcer formation. It includes preventive measures first and foremost a healthy lifestyle including physical activity particularly suited to endurance-type (walking, cycling, swimming, cross country), weight control and avoidance of exposure heat, the fight against constipation. Regular wearing elastic compression type "stockings" is very useful in exposed populations.
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.
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 ...).
Complications can be deep phlebitis (5.3%) 12, a pulmonary embolism (0.06%), a level of complication as wound infection (2.2%), nerve damage with residual anesthetic at ankle. The recurrence rate is 5-60% at 10 years according to studies. It is also noteworthy that this surgery removes the saphenous trunks that may be useful in future if the patient needs a coronary artery bypass or members, as the saphenous trunks, even among the carrier about varices vein.
Symptoms include feeling of heavy legs and fatiguable. There may be swelling, itching. These symptoms are common but usually unrelated to presence of a vein expansion. Clinical examination should also look for a cause of high venous compression (abdominal mass, gastrointestinal symptoms ...). Doppler ultrasound allows hemodynamically, echo-marking and mapping: the Doppler information and quantifies the flow of blood in vessels with their direction and ultrasound can view the reflux bridges.
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.
Uncomplicated and not symptomatic varices vein has little risk of complicated. Various complications are the occurrence of deep vein thrombosis (or phlebitis), rupture with hemorrhage, ulcer formation. It includes preventive measures first and foremost a healthy lifestyle including physical activity particularly suited to endurance-type (walking, cycling, swimming, cross country), weight control and avoidance of exposure heat, the fight against constipation. Regular wearing elastic compression type "stockings" is very useful in exposed populations.
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