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.
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.
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.
Compression is effective in changing varicose ulcers and significantly reduces the risk of recurrence if compression is extended several years. In absence of ulcer, their use remains controversial outside symptoms, partly no doubt because of a secondary adherence to implementation difficulties in some people.Many surgical techniques have been practiced for over a century, since the heavier as "stripping" under general anesthesia or spinal anesthesia anesthesia swelling inpatient, to lighter as "superficial phlebectomies" and the cure CHIVA performed as an outpatient.
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.
This is a radiograph of venous network is carried out by injecting into vein of foot of a contrast product which is monitored progress. It is no longer practiced at all in balance sheet of varices. Its indications are now limited to study of deep venous system in balance sheet for a reconstructive surgery.
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.
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.
Compression is effective in changing varicose ulcers and significantly reduces the risk of recurrence if compression is extended several years. In absence of ulcer, their use remains controversial outside symptoms, partly no doubt because of a secondary adherence to implementation difficulties in some people.Many surgical techniques have been practiced for over a century, since the heavier as "stripping" under general anesthesia or spinal anesthesia anesthesia swelling inpatient, to lighter as "superficial phlebectomies" and the cure CHIVA performed as an outpatient.
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.
This is a radiograph of venous network is carried out by injecting into vein of foot of a contrast product which is monitored progress. It is no longer practiced at all in balance sheet of varices. Its indications are now limited to study of deep venous system in balance sheet for a reconstructive surgery.
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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