Current treatment of varicose veins

Abstract

Varicose veins (VVs) of the lower limbs are a common complaint that can take many forms, ranging from a nonpathologic condition to an invalidating chronic disorder. When they have not been neglected, uncomplicated VVs have often been treated by sclerotherapy or surgery, with variably successful results. Currently, the best way of assessing VVs has been to carry out routine ultrasound investigations. The approach to VVs has changed due to recent awareness of cosmetic considerations and the way they can affect quality of life, as well as the development of new treatments (ie, echo-guided sclerotherapy, foam sclerotherapy, endovascular obliteration) and ambulatory care practices. In some cases, the evolution of the disease can be disconcerting, if not entirely hopeless. However, in most cases, poor results have been obtained because of perfunctory assessment, inappropriate treatment, and lack of follow-up. The treatment of complicated VVs has been improved by combining clinical and ultrasound examinations, which make for a quick, accurate diagnosis, pointing the way to the right treatment. Venous ulcers resulting from primary saphenous vein insufficiency, which account for 50% of all venous ulcers, and recurrent venous ulcers should all be a thing of the past, apart from those associated with deep valvular insufficiency disease. The quality of care and the scientific standard of clinical studies on chronic venous insufficiency and VVs have both increased considerably. Although there is still a need to set up scales for assessing symptoms and quality of life, progress is being made in clinical studies that now meet the standards of evidence-based medicine.

Varicose Veins and Associated Risk Factors among Women in the Childbearing Period in Benha city, Egypt: A cross-sectional study

“…VV of the lower appendages is a common complaint that can take numerous shapes, extending from a non-pathologic condition to an unsettling persistent clutter. When they have not been ignored, uncomplicated VVs have frequently been treated by sclerotherapy or surgery, with dynamically effective results (9) .…”

Day surgery is effective and safe for patients with great saphenous vein varices who meet American Society of Anesthesiologists I-II grading

“…[7] GSVV is a common disease, of which morbidity in male is 30-50%, and in female is about 50%. [8] Categories of DS now are more than 1000; [5,9] and DS for GSVV is one developed kind, which is firstly performed in 2011 in our hospital. In the present study, feasibility and efficacy of DS for GSVV is accessed through comparison between DS group and IS group.…”

Design, Manufacture, Mechanical Testing and Clinical/Mri Assessment of the Medical Elastic Compression Stockings, Base on Taiwanese’s Leg Size

“…CVI leads to increased venous pressure in the lower leg, which can lead to skin changes such as hyperpigmentation, induration, and eventual ulceration. Gastrocnemius muscle cell changes because of prolonged hypoxia and ischemia are further complications of CVI that can cause soreness, pain, and cramping [11][12][13].…”