Varicose Veins Causes and Treatment
Patients with varicose veins complain of a rather nebulous set of symptoms namely leg aches, swelling, restlessness and pain or itching over specific veins. These are difficult to quantify and correlate poorly with the visible extent and size of the varicosities, which causes a problem for health care providers who are increasingly encouraged to only intervene surgically for symptoms rather than for pure cosmesis. From the epidemiological data outlined above, it would appear that female caucasian legs are more susceptible to the skin changes brought on by venous hypertension it would be reasonable to assume that they are also likely to genuinely suffer more symptoms from their varicose veins.
Vascular disease (a) Arterial - aneurysms of the iliac and femoral vessels these may be complicated by distal embolization or vascular insufficiency which will make the diagnosis easy. Femoral aneurysm as a complication of cardiac catheterization or transluminal angioplasty is a recent arrival in the diagnostic arena. (b) Venous - a saphenovarix could be confused with a femoral hernia. Its anatomical site is the same, but its characteristic blue colour, soft feel, fluid thrill, disappearance when the patient is laid flat and the giveaway associated varicose veins should prevent misdiagnosis. (c) Inguinal venous dilatation secondary to portosystemtic shunting can result in a painful inguinal bulge that can even become incarcerated. Preoperative Doppler ultrasound in cirrhotic patients with suspected inguinal hernias is advised.
The long saphenous vein is usually used, providing its diameter on duplex scanning is 3.5 mm or above (Fig. 15.10). Arm veins are less robust and tend to dilate with time but are a good option if no leg veins are available. They should be marked pre-operatively, under duplex control if necessary. The vein may be prepared by removing and reversing it before reinsertion. It may also be used in the 'in situ' mode, whereby it is not removed but simply anastomosed at both ends after destroying the valves with a valvulotome. All the side branches have to be ligated.
Varicose veins are extremely prevalent 10-25 of the adult population in the Western world. It was thought that the incidence of varicose veins was lower in males and outside the western world, but this has recently been disputed. However it appears that even if the prevalence of varicose veins, and perhaps venous insufficiency, is similar in developing countries, the number of symptoms and complications they cause is almost certainly lower. Classical teaching is that the incidence of varicose veins is higher in occupations involving prolonged periods of standing or sitting and in pregnancy. While this has been supported by some but by no means all studies, it is likely that their symptoms are worse.
Ligating branches of the long saphenous vein. (a) Only the common stem of the superficial iliac vein (sciv) and the anterolateral vein (alv) are ligated resulting in continued reflux down the thig and 'recurrent' varicose veins. (b) Correct procedure where all three veins are ligated. Figure 15.19. Ligating branches of the long saphenous vein. (a) Only the common stem of the superficial iliac vein (sciv) and the anterolateral vein (alv) are ligated resulting in continued reflux down the thig and 'recurrent' varicose veins. (b) Correct procedure where all three veins are ligated. Hand-held Doppler assessment with the patient standing can diagnose reflux in the popliteal fossa or at the sapheno-femoral junction. Flow is augmented by manually squeezing the calf. Reflux is present if reverse flow of more than 1s is detected on releasing the calf. Popliteal fossa reflux may be in the deep veins or the sapheno-popliteal junction and requires confirmation with venous duplex...
Official Download Link Get Rid Varicose Veins Naturally
The best part is you do not have to wait for Get Rid Varicose Veins Naturally to come in the mail, or drive to a store to get it. You can download it to your computer right now for only $19.00.