Overview Varicose veins of the lower extremities are found in the superficial venous system which includes the great saphenous vein (GSV) and the small saphenous vein (SSV), and their tributaries. One-way valves are present in the superficial venous system. These valves prevent backward flow of blood within the vein (reflux) and keep the blood moving toward the heart. The condition of improperl...

OBJECTIVE To evaluate the efficacy of surgical treatment of varicose veins with preservation of the great saphenous vein. METHODS We conducted a prospective study of 15 female patients between 25 and 55 years of age with clinical, etiologic, anatomic and pathophysiologic (CEAP) classification 2, 3 and 4. The patients underwent surgical treatment of primary varicose veins with great saphenous ...

Saphenous veins were taken for examination: unchanged, varicose with thrombophlebitis and varicose thrombus. The contents of haemoglobin and protein were determined in the homogenate of that material. Only small quantities of haemoglobin were found in walls of unchanged veins. Greater amounts of haemoglobin were observed in walls of varicose veins, especially in walls of varicose veins with thr...

Regular walking exercise attenuates lower-limb cutaneous microvascular endothelial dysfunction in post-surgical varicose-vein patients. This study assessed the effects of upper-limb exercise training on lower-limb cutaneous microvascular function in this patient group. Six post-surgical (4-5 weeks) varicose-vein patients completed an 8-week arm-crank exercise training programme. Changes in cuta...

OBJECTIVE In order to simplify varicose vein surgery, we studied the possibility of tumescent local anaesthesia (TLA) using sodium bicarbonate 1.4% as excipient without any intravenous sedation. METHODS For three months, 215 patients were included in two centres for ambulatory varicose vein surgery performed without any intravenous sedation. Clinical results and pain were evaluated according ...

Varicose veins are a common disorder and occur in about 40% of men and 32% of women. However the prevalence of the varicose veins has variability according to the age, gender, duration of reflux, and localization (superficial and/or deep veins). According to the Bonn Vein Study according to the duration of reflux (>500 ms) prevalence of the varicose veins in all veins was 35.3% (superficial vei...

The role of incompetent perforating veins in the aetiology of varicose veins is not well understood. Anecdotally, competitive cyclists appeared to be more prone to varicose veins than the general population. We present a case of a 63-year-old amateur competitive cyclist who acutely developed a painful varicosity of her left calf while straining during a hill climb in 106-mile cycle race. Duplex...

Chronic venous disease encompasses a broad range of conditions from minor telangiectasia to varicose veins to severe venous insufficiency with venous ulcers. The common underlying mechanism for chronic venous disease is congestion and stasis caused by reversal of venous flow and valve failure. Patients with primary varicose veins have venous congestion limited to the superficial venous system, ...