Varicose veins are permanent dilation of vein, usually in lower limb. The lower limb varix is a subcutaneous vein whose diameter is greater than 3 mm. Varices are usually winding. They are the site of a blood reflux (varicose veins Austin). One of most common diseases of adult population, with 75% of Country will be achieved, and 25% require medical or surgical care.
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.
Occlusion of deep venous system (phlebitis) also causes a dilation of superficial venous network to support the venous return. It is important to differentiate between the vein (small intradermal dilatations of less than 3 mm) of varices itself. Essentially, varices affect the lower limbs. They may be either primary or secondary to postphlebitic disease.
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.
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.
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.
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.
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.
Occlusion of deep venous system (phlebitis) also causes a dilation of superficial venous network to support the venous return. It is important to differentiate between the vein (small intradermal dilatations of less than 3 mm) of varices itself. Essentially, varices affect the lower limbs. They may be either primary or secondary to postphlebitic disease.
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.
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.
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.
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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