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Know about varicose veins | Best Treatment for Varicose Veins

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Page 1: Know about varicose veins | Best Treatment for Varicose Veins
Page 2: Know about varicose veins | Best Treatment for Varicose Veins

WHAT IS VARICOSE VEINS

Varicose veins are abnormally

dilated, tortuous, superficial

veins caused by incompetent

venous valves. Most commonly

seen in lower extremities

Page 3: Know about varicose veins | Best Treatment for Varicose Veins

LOWER LIMB VENOUS ANATOMY

Page 4: Know about varicose veins | Best Treatment for Varicose Veins

VALVESMaintain unidirectional flow.

Extremity to heart.

Superficial to deep.

Page 5: Know about varicose veins | Best Treatment for Varicose Veins

PERFORATORSConnects deep and superficial systems

Flow normally from superficial

to deep

Page 6: Know about varicose veins | Best Treatment for Varicose Veins

MUSCLE PUMP

Contractions propel blood toward heartRelaxation draws blood from superficial veins and pour into deep veins

Page 7: Know about varicose veins | Best Treatment for Varicose Veins

ETIOLOGY

HERIDITARY LACK OF EXCERCISE

HORMONAL MEDICATION

SURGERY/ TRAUMA

Page 8: Know about varicose veins | Best Treatment for Varicose Veins

ETIOLOGY

OBESITY

PREGNANCY

Page 9: Know about varicose veins | Best Treatment for Varicose Veins

ETIOLOGY

AGE OVER 40

JOBS REQ LONG STANDING/SITTING

HOURS

Page 10: Know about varicose veins | Best Treatment for Varicose Veins

STAGES OF VARICOSE VEINS0.No visible venous disease1.Telangiectasias or reticular veins2.Visible Varicose veins

3.Oedema4.Skin changes5.Healed ulceration6.Active ulceration

Page 11: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 0 NO VISIBLE DISEASE

Page 12: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 1 TELENGECTASIA / RETICULAR VEINS

Page 13: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 2 VISIBLE VARICOSE VEINS

Page 14: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 3 OEDEMA

Page 15: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 4 SKIN CHANGES

Page 16: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 5 HEALED ULCERATION

Page 17: Know about varicose veins | Best Treatment for Varicose Veins

STAGE 6 ACTIVE ULCERATION

Page 18: Know about varicose veins | Best Treatment for Varicose Veins

SIGNS AND SYMPTOMS

Aching, heavy legs

• Often worse at night and after exercise

Page 19: Know about varicose veins | Best Treatment for Varicose Veins

SIGNS AND SYMPTOMSBrownish-Blue shiny skin discoloration near the affected veins

Statis dermatitis or venous eczema

Redness, dryness and itchiness

Page 20: Know about varicose veins | Best Treatment for Varicose Veins

SIGNS AND SYMPTOMS

CrampsRestless leg syndrome

Atrophie blanche• Whitened, irregular scar-like patches

on the ankles

Page 21: Know about varicose veins | Best Treatment for Varicose Veins

SIGNS AND SYMPTOMSMinor injuries to the area may bleed more than normal and/or take a long time to heal.Lipodermatosclerosis• Skin above the ankle may shrink• Due to hardening of the fat underneath the

skin

Page 22: Know about varicose veins | Best Treatment for Varicose Veins

DIAGNOSTICS

Venous Doppler examination of both legs

Superficial and deep venous system evaluated

Page 23: Know about varicose veins | Best Treatment for Varicose Veins

TRADITIONAL TREATMENTSurgical ligation and strippingHigh ligationInjection sclerotherapy

Phlebectomy Only treats the visible varicosities with out treating the actual problem

Page 24: Know about varicose veins | Best Treatment for Varicose Veins

MODERN ADVANCED TREATMENT

Hybrid technique

Endovenous laser treatment plus

Foam sclerotherapy

Page 25: Know about varicose veins | Best Treatment for Varicose Veins

ENDOVENOUS LASER TREATMENTSimple procedure

Safer• Performed under local anesthetic/ sedation• Immediate relief of symptomsNo ugly scar• Minimally invasive, so minimal risk of

scarring and postoperative infection

Page 26: Know about varicose veins | Best Treatment for Varicose Veins

ENDOVENOUS LASER TREATMENTLess than one hour examination and treatment time.

Rapid recovery with reduced postoperative pain. Normal activities can be resumed immediately

Excellent clinical and aesthetic results.

Page 27: Know about varicose veins | Best Treatment for Varicose Veins

ENDOVENOUS LASER TREATMENT

Less reocurrence (surgery Vs EVLT: 25% Vs 5%)

Accepted by insurance providers.

EVLT is an American FDA approved treatment for varicose veins.

Page 28: Know about varicose veins | Best Treatment for Varicose Veins

FOAM SCLEROTHERAPY

Page 29: Know about varicose veins | Best Treatment for Varicose Veins

DIFFERENCE BETWEEN SURGERY /EVLT

Req- general anaestheisPain, bruising and scarringReq -Hospital admission

Req only sedationNo pain, bruising, scarringDay care procedure

Page 30: Know about varicose veins | Best Treatment for Varicose Veins

Reoccurance 25%Not suitable for every ptLong healing time

Reoccurance 5%

No age limit, almost suitable for every ptCan return to work the next day

DIFFERENCE BETWEEN SURGERY /EVLT

Page 31: Know about varicose veins | Best Treatment for Varicose Veins

SURGERY / EVLT

Page 32: Know about varicose veins | Best Treatment for Varicose Veins

BEFORE AND AFTER

Page 33: Know about varicose veins | Best Treatment for Varicose Veins

BEFORE AND AFTER

Page 34: Know about varicose veins | Best Treatment for Varicose Veins

BEFORE AND AFTER

Page 35: Know about varicose veins | Best Treatment for Varicose Veins

BEFORE AND AFTER

Page 36: Know about varicose veins | Best Treatment for Varicose Veins

PREVENTION

Page 37: Know about varicose veins | Best Treatment for Varicose Veins

PREVENTION

Elevate legs while sleeping

Regular exercise daily

Wear stockings regularlyNo continuos sitting/ standingfor more than 30 minutes

Page 38: Know about varicose veins | Best Treatment for Varicose Veins

FOR MORE INFORMATION

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