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Diagnosis and management of varicose veins in the legs

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Jul 26, 2013.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    Diagnosis and management of varicose veins in the legs: summary of NICE guidance
    BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f4279 (Published 24 July 2013)
     
  2. wdd

    wdd Well-Known Member

    SEE FOLLOWING POST
     
  3. wdd

    wdd Well-Known Member

    Surely this is one of these situations where a stitch in time saves nine. Varicose eczema or varicose ulcers are never the first manifestation.

    The earlier management is started the better. Varicose veins should be treated as soon as they show. Varicose veins never get better, they are never really stable and they only get worse.

    As a general rule getting in there and sclerosing the vein as soon as it shows means that you don't have to worry about future varicose eczema or ulceration.

    When a GP sees a patient, for whatever reason, who has early varicose veins, do they suggest treatment?

    Why are varicose veins and their sequelae left so long before they are treated?

    Bill
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Compression Therapy Versus Surgery in the Treatment of Patients with Varicose Veins: A RCT
    H. Sella et al
    European Journal of Vascular and Endovascular Surgery; Available online 24 March 2014
     
  5. NewsBot

    NewsBot The Admin that posts the news.

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    The influence of the training of the muscular component of the musculo-venous pump in the lower extremities on the clinical course of varicose vein disease
    Kravtsov PF et al
    Vopr Kurortol Fizioter Lech Fiz Kult. 2016;93(6):33-36.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

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    Evidence for varicose vein treatment: an overview of systematic reviews
    Ricardo de Ávila Oliveira et al
    Sao Paulo Med. J., ahead of print Epub July 16, 2018
     
  7. NewsBot

    NewsBot The Admin that posts the news.

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    Treatment of varicose veins of lower
    extremity: a literature review

    Xueke Guo et al
    Int J Clin Exp Med 2019;12(3):2142-2150 (full text)
     
  8. NewsBot

    NewsBot The Admin that posts the news.

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    Anatomy of foot perforator veins in surgery of varicose veins
    Kalinin RE, Suchkov IA, Shanaev IN
    Khirurgiia, 01 Jan 2021, (1):69-76Language:rus
     
  9. NewsBot

    NewsBot The Admin that posts the news.

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    NEWS RELEASE 8-JUN-2021
    Internal compression stocking helps against varicose veins

    Applying a thin sheath around the defective vein eliminated the varicose vein problem in over 95 per cent of cases. The research team published their findings in the Journal of International Medical Research on 6 April 2021.

    When the blood pools in the leg

    Varicose veins are more than just a cosmetic problem: the unsightly bulges might result in serious health problems such as leg ulcers, thromboses or even pulmonary embolisms. The cause of varicose vein disease is usually a weakness in the connective tissue, which causes the vein wall to give way and thus the vein diameter to grow. This process is accelerated by pregnancy or frequent standing and sitting.

    The increase in vein diameter impairs the function of the vein valves. The valve leaflets are pulled apart and a leak develops, which is called valve insufficiency. The blood pools in the leg where it leads to an increase in venous blood pressure. This valve insufficiency most often affects the truncal vein, also called the great saphenous vein or great rose vein, which opens in the groin.

    Like a second skin

    The therapy concepts to date have been based on a radical approach: destruction by laser or by radio wave therapy, or removal of insufficient truncal veins by stripping surgery. "At the RUB Hospital, we have developed an alternative to the radical methods with the procedure of extraluminal valvuloplasty, which adopts an organ-preserving approach," explains Professor Achim Mumme, Director of Vascular Surgery. Venous valves are repaired through a small incision in the groin. A sheath of wafer-thin polyurethane is placed around the dilated vein like a second skin. The sheath acts as a kind of internal compression stocking that returns the vein, which is weak in connective tissue, to its normal diameter.

    Use primarily when risk factors for circulatory disorders are present

    In a multicentre study, the team tested the effectiveness of the organ-preserving treatment method. "With a success rate of 95.24 per cent, vein repair with the novel polyurethane sheath proved to be an effective therapeutic alternative to radical treatment methods," outlines study supervisor Dominic Mühlberger. "The great advantage of extraluminal valvuloplasty is that the truncal vein is preserved - unlike in radical therapy methods."

    This is especially important if circulatory problems occur at a later stage in life. In this case, the presence of suitable bypass material can be decisive for the treatment options. The truncal veins are needed as vascular graft in cardiovascular surgery. Whereas the lack of suitable autologous replacement material worsens the prognosis.

    "Vein-preserving therapy for varicose veins should be used above all when risk factors for the development of circulatory disorders are present, such as smoking, high blood pressure, diabetes or lipometabolic disorders," concludes Mühlberger.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

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    Exploring causal correlations between inflammatory cytokines and varicose veins: A Mendelian randomization analysis
    Shen Min, Mengzhen Xing, Hehe Jiang, Linlin Zhang, Chen Chen, Yuning Ma, Yuxia Ma
    14 February 2024
     
  11. NewsBot

    NewsBot The Admin that posts the news.

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    Hypothesis: Pump shoes for the prevention and treatment of varicose veins
    Alireza Jahanbani
    Phlebology. 2024 Jun 6
     
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    NewsBot The Admin that posts the news.

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