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Overview Of Varicose Veins Austin

By Stacey Burt


Smoking cessation is recommended. The elevation of members, facilitating venous return and decompression of varices. The management of varices vein was the subject of publication of recommendations of American Society for Vascular Surgery (varicose veins Austin). Uncomplicated and not symptomatic varices requires no medical or surgical treatment except for aesthetic purposes.

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%.

When only one parent is affected, the risk drops to 62% for the female child and 25% for the male child. If no parent is reached, the risk of developing varices are 20%, regardless of sex of child. Various aggravating factors exist: pregnancy (hormonal factor) especially if they are repeated, prolonged standing or sitting, obesity, constipation, wearing clothes that tighten (garters, girdles, below), heat and certain exercises such as weight training and weightlifting they exert a negative pressure on the venous system, increasing leg pain and risk of varices in susceptible individuals. Large size men also have more propensity to have varices.

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.

Complications can be deep phlebitis (5.3%) 12, a pulmonary embolism (0.06%), a level of complication as wound infection (2.2%), nerve damage with residual anesthetic at ankle. The recurrence rate is 5-60% at 10 years according to studies. It is also noteworthy that this surgery removes the saphenous trunks that may be useful in future if the patient needs a coronary artery bypass or members, as the saphenous trunks, even among the carrier about varices vein.

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.

The method preserves venous capital that will be useful in case of need for coronary artery bypass or members, probability that increases with the aging of population. They allow the destruction of vein, after puncture of latter, by different methods: laser, steam, ... Sclerotherapy Endovenous laser treatment or radiofrequency are less aggressive techniques and postoperative less painful.




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