Ywca varicose veins

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  • VENOUS ANATOMY
  • STAGES OF VARICOSE VEINS
  • SPIDER VEINS - LASER TREATMENT AVAILABLE
  • SIGNS AND SYMPTOMS
  • DIAGNOSTICS
  • TRADITIONAL TREATMENT
  • FOAM SCLEROTHERAPY
  • DIFF BETWEEN SURGERY N EVLT
  • BEFORE AND AFTER
  • PREVENTION
  • Ywca varicose veins

    1. 1. WHAT IS VARICOSE VEINS Varicose veins are abnormally dilated, tortuous, superficial veins caused by incompetent venous valves. Most commonly seen in lower extremities
    2. 2. LOWER LIMB VENOUS ANATOMY
    3. 3. VALVES Maintain unidirectional flow. Extremity to heart. Superficial to deep.
    4. 4. PERFORATORS Connects deep and superficial systems Flow normally from superficial to deep
    5. 5. MUSCLE PUMP Contractions propel blood toward heart Relaxation draws blood from superficial veins and pour into deep veins
    6. 6. ETIOLOGY HERIDITARY LACK OF EXCERCISE HORMONAL MEDICATION SURGERY/ TRAUMA
    7. 7. ETIOLOGY OBESITY PREGNANCY
    8. 8. ETIOLOGY AGE OVER 40 JOBS REQ LONG STANDING/SITTING HOURS
    9. 9. STAGES OF VARICOSE VEINS 0.No visible venous disease 3.Oedema 1.Telangiectasias or reticular veins 4.Skin changes 2.Visible Varicose veins 6.Active ulceration 5.Healed ulceration
    10. 10. STAGE 0 NO VISIBLE DISEASE
    11. 11. STAGE 1 TELENGECTASIA / RETICULAR VEINS
    12. 12. STAGE 2 VISIBLE VARICOSE VEINS
    13. 13. STAGE 3 OEDEMA
    14. 14. STAGE 4 SKIN CHANGES
    15. 15. STAGE 5 HEALED ULCERATION
    16. 16. STAGE 6 ACTIVE ULCERATION
    17. 17. SIGNS AND SYMPTOMS Aching, heavy legs • Often worse at night and after exercise
    18. 18. SIGNS AND SYMPTOMS Brownish-Blue shiny skin discoloration near the affected veins Statis dermatitis or venous eczema Redness, dryness and itchiness
    19. 19. SIGNS AND SYMPTOMS Cramps Restless leg syndrome Atrophie blanche • Whitened, irregular scar-like patches on the ankles
    20. 20. SIGNS AND SYMPTOMS Minor 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
    21. 21. DIAGNOSTICS Venous doppler examination of both legs Superficial and deep venous system evaluated
    22. 22. TRADITIONAL TREATMENT Surgical ligation and stripping High ligation Injection sclerotherapy Phlebectomy Only treats the visible varicosities with out treating the actual problem
    23. 23. MODERN ADVANCED TREATMENT Hybrid technique Endovenous laser treatment plus Foam sclerotherapy
    24. 24. ENDOVENOUS LASER TREATMENT Simple procedure Safer • Performed under local anesthetic/ sedation • Immediate relief of symptoms No ugly scar • Minimally invasive, so minimal risk of scarring and postoperative infection
    25. 25. ENDOVENOUS LASER TREATMENT Less than one hour examination and treatment time. Rapid recovery with reduced postoperative pain. Normal activities can be resumed immediately Excellent clinical and aesthetic results.
    26. 26. 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.
    27. 27. FOAM SCLEROTHERAPY
    28. 28. DIFFERENCE BETWEEN SURGERY / EVLT Req- general anaestheis Req only sedation Pain, bruising and scarring No pain, bruising, scarring Req -Hospital admission Day care procedure
    29. 29. DIFFERENCE BETWEEN SURGERY / EVLT Reoccurance 25% Reoccurance 5% Not suitable for every pt No age limit, almost suitable for every pt Long healing time Can return to work the next day
    30. 30. SURGERY / EVLT
    31. 31. BEFORE AND AFTER
    32. 32. BEFORE AND AFTER
    33. 33. BEFORE AND AFTER
    34. 34. BEFORE AND AFTER
    35. 35. PREVENTION
    36. 36. PREVENTION Elevate legs while sleeping Regular exercise daily Wear stockings regularly No continuos sitting/ standing for more than 30 minutes
    37. 37. THANK YOU
    38. 38. NEXT TOPICS CARCINOMA OF BREAST UTERINE FIBROIDS

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