jeudi 25 décembre 2014

Overview Of Varicose Veins Austin

By Stacey Burt


Stripping involves removing the entire saphenous vein (large vein) fails, which extends from the ankle to groin or, more simply, it is to extract the superficial vein that have no more useful function. An incision at the ankle and the end portion of vein is performed; vein is sectioned at both ends (varicose veins Austin).

The indication for treatment of spider vein is simple only cosmetic. Several methods are available as sclerotherapy, thermocoagulation or application of laser. Sclerotherapy allows an improvement in 70% of cases. 5 and port of contention for a few weeks after the sessions. Radical measures are mostly remove reflux in pathological vein, either by surgery or by sclerosis, that it be chemical (injections) or physical (closure, Laser).

The medical report tracks the evolution of disease and, possibly, the question of surgical treatment. Treating the symptoms can be done by certain medicines called "veinotonic" flavonoids or bioflavonoids as aescin; hesperidin, rutin's (or rutin), troxerutin, vitamin P; etc. Their effectiveness is not always proven.

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.

To determine the insufficient saphenous vein, the surgeon will prescribe a Doppler examination, that is to say, an ultrasound examination for exploring intravascular blood flow. Vascular doctor will be able to map the vein which will locate the reflux and leakage points and determine the main superficial vein that are healthy. Before the intervention, it is important to shave the legs and wash with Betadine before arriving at the hospital. The surgeon will mark the previously felt pen varices vein to properly identify varices branches a few hours before the operation.

If it is known as varices vein will gradually dilated by the normal tissue drainage that can not borrow the destroyed vein (not conservative methods: stripping, phlebectomy, laser, radiofrequency sclerosis, etc.), we understand why the cure Chiva, respectful vein and drainage, is followed by recurrence 2 to 5 times less frequent after stripping after ten.

Stripping involves removing the saphenous vein, usually with its branches "stripping plus phlebectomies" under general anesthesia or spinal anesthesia anesthesia lumps. The operation takes place in three stages: the ligation, stripping itself and elimination of small residual varices (phlebectomy. Crossectomy involves interrupting the connection between the diseased vein and the deep venous system. For the great saphenous vein, an incision is made in groin, another ankle or hock and the small saphenous vein, an incision behind the knee and the second also at the ankle or calf. Ligation will be performed where the vein empties into deep venous system.




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