Primary varicose veins: Frequency, clinical significance and surgical treatment

Abstract

The incidence of insufficiency is significant: approximately every third patient has short saphenous vein insufficiency, while three third of patients have perforating veins insufficiency. Color Duplex limb's veins ultrasonography is highly reliable method for the examination and study of superficial veins diseases, which is very important for preoperative decision-making and selection of surgical technique as well as for postoperative follow-up.

Application of endovenous mechanochemical ablation (MOCA) with Flebogrif™ to treat varicose veins of the lower extremities: a single center experience over 3 months of observation

“…Open versus endovascular treatment options tend to divide phlebologists into enthusiasts and skeptics, who believe that minimally invasive procedures have low effectiveness due to lack of crossectomy or ligation of the saphenofemoral junction [5]. However, this was not confirmed in long--term studies and the relapse risk in new methods was estimated to be comparable to stripping [1]. In 2008, a new method of thermal venous ablation using steam, steam vein sclerosis (SVS), was proposed.…”

“…The World Health Organization defines varicose veins of the lower limbs as dilated superficial veins presenting as baggy or cylindrical in shape and possessing damaged valves [1]. In 70% of cases saphenous veins are affected [2].…”