The document describes the venous drainage system of the lower extremity, including the long saphenous vein (LSV), short saphenous vein (SSV), deep veins, and perforating veins. It provides details on the anatomy and course of the LSV and SSV. Surgical procedures for varicose veins are discussed such as ligation and stripping, ligation of incompetent perforators, and newer minimally invasive techniques like foam sclerotherapy, endovenous laser ablation, and radiofrequency ablation. Post-operative care and potential complications are also summarized.
This document discusses varicose veins and their treatment options. It begins by describing the anatomy of varicose veins and their branches. It then discusses various surgical treatment options for varicose veins including stripping, endovenous laser therapy (EVLT), sclerotherapy, and hook phlebectomy. It provides details on the procedures, risks, post-operative care, and complications. In summary, it provides an overview of varicose vein anatomy and treatments through both invasive and non-invasive surgical procedures.
This document provides information on varicose veins and their management. It discusses the anatomy of veins in the lower extremities, including superficial, deep and perforator veins. It describes the pathogenesis of varicose veins which involves valve incompetence and reflux of blood. Clinical features include pain, heaviness, cramps and complications like ulcers. Investigations include Doppler ultrasound, duplex scan and venography. Management involves conservative measures like compression stockings as well as invasive options like sclerotherapy and surgery. Sclerotherapy involves injecting sclerosing agents into veins to cause scarring and closure.
Varicose veins are swollen, enlarged veins that often appear blue or dark purple. They commonly occur in the legs but can affect other areas. Varicose veins are very common, affecting up to 30% of the UK adult population. While the exact cause is unknown, factors like family history, age, pregnancy, obesity, and standing for long periods can increase risk. Treatment options range from compression stockings and elevation for mild cases to invasive procedures like surgery or ablation techniques for more severe cases. The main risks of invasive treatments are nerve damage, which occurs in 8-40% of cases depending on the procedure and location of veins.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
This document summarizes chronic venous insufficiency (CVI), which occurs when veins cannot pump enough deoxygenated blood back to the heart. CVI mainly affects the legs and can cause varicose veins, spider veins, and reticular veins. The venous system includes deep, superficial, and perforating veins. The great and short saphenous veins are major superficial leg veins. CVI is caused by primary muscle pump failure, venous obstruction, or valvular incompetence. It can lead to complications like ulcers, pigmentation changes, and lipodermatosclerosis. Treatment includes conservative measures, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Made by Ranjith R Thampi. A surgery powerpoint I made during internship for Management of Varicose Veins. Tried to cover as much as possible on the topic. Kindly comment before you download. Thanks!
The document describes the venous drainage system of the lower extremity, including the long saphenous vein (LSV), short saphenous vein (SSV), deep veins, and perforating veins. It provides details on the anatomy and course of the LSV and SSV. Surgical procedures for varicose veins are discussed such as ligation and stripping, ligation of incompetent perforators, and newer minimally invasive techniques like foam sclerotherapy, endovenous laser ablation, and radiofrequency ablation. Post-operative care and potential complications are also summarized.
This document discusses varicose veins and their treatment options. It begins by describing the anatomy of varicose veins and their branches. It then discusses various surgical treatment options for varicose veins including stripping, endovenous laser therapy (EVLT), sclerotherapy, and hook phlebectomy. It provides details on the procedures, risks, post-operative care, and complications. In summary, it provides an overview of varicose vein anatomy and treatments through both invasive and non-invasive surgical procedures.
This document provides information on varicose veins and their management. It discusses the anatomy of veins in the lower extremities, including superficial, deep and perforator veins. It describes the pathogenesis of varicose veins which involves valve incompetence and reflux of blood. Clinical features include pain, heaviness, cramps and complications like ulcers. Investigations include Doppler ultrasound, duplex scan and venography. Management involves conservative measures like compression stockings as well as invasive options like sclerotherapy and surgery. Sclerotherapy involves injecting sclerosing agents into veins to cause scarring and closure.
Varicose veins are swollen, enlarged veins that often appear blue or dark purple. They commonly occur in the legs but can affect other areas. Varicose veins are very common, affecting up to 30% of the UK adult population. While the exact cause is unknown, factors like family history, age, pregnancy, obesity, and standing for long periods can increase risk. Treatment options range from compression stockings and elevation for mild cases to invasive procedures like surgery or ablation techniques for more severe cases. The main risks of invasive treatments are nerve damage, which occurs in 8-40% of cases depending on the procedure and location of veins.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
This document summarizes chronic venous insufficiency (CVI), which occurs when veins cannot pump enough deoxygenated blood back to the heart. CVI mainly affects the legs and can cause varicose veins, spider veins, and reticular veins. The venous system includes deep, superficial, and perforating veins. The great and short saphenous veins are major superficial leg veins. CVI is caused by primary muscle pump failure, venous obstruction, or valvular incompetence. It can lead to complications like ulcers, pigmentation changes, and lipodermatosclerosis. Treatment includes conservative measures, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Made by Ranjith R Thampi. A surgery powerpoint I made during internship for Management of Varicose Veins. Tried to cover as much as possible on the topic. Kindly comment before you download. Thanks!
The document discusses varicose veins, which are distended and dilated veins caused by blood pooling in the legs. It describes the venous system and explains that varicose veins occur due to defects in valves that normally prevent backflow of blood. Symptoms include heaviness, pain, swelling, and skin discoloration or ulcers. Treatment options addressed are compression therapy, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Varicose Veins were first documented by Sushrutha in India as "Siragranthi". The first surgery for varicose veins was described by Galen in 2nd century AD. Varicose veins are dilated, elongated and tortuous superficial veins caused by venous hypertension due to valvular incompetence or obstruction. Investigations like Doppler ultrasound and air plethysmography help in diagnosis. Management includes conservative measures, sclerotherapy, surgery like vein stripping or ligation of saphenofemoral junction, and newer minimally invasive procedures like radiofrequency ablation and endovenous laser ablation.
Classification of arterial disease and invstigationsSumer Yadav
This document discusses the classification and investigation of arterial disease. It describes different types of arterial disease including acute limb ischemia from embolism or trauma, and chronic disease from atherosclerosis, Takayasu arteritis, or collagen vascular diseases. Features of lower limb arterial stenosis are outlined. The Fontaine classification of limb ischemia is presented ranging from asymptomatic to gangrene. Investigations discussed include general tests, ankle-brachial pressure index, treadmill testing, tonoscillography, plethysmography, arteriography using Seldinger technique, ultrasound and Doppler flow measurement, duplex scanning, computed tomographic angiography, and magnetic resonance angiography. Complications of arteriography and uses of various imaging
This presentation gives general overview about different aspects of PILONIDAL DISEASE including pathophysiology, etiology, clinical Presentation, different treatment options available etc
Chronic venous insufficiency is a condition where the veins in the legs cannot pump enough blood back to the heart. It involves dilated, tortuous veins and valvular incompetence, mainly in the legs. Risk factors include age, gender, heredity, pregnancy, obesity, and prolonged standing or sitting. Symptoms include leg pain, swelling, skin changes like eczema or ulcers. Treatment options include compression therapy, sclerotherapy, and surgery to ligate or strip varicose veins.
This document provides information about varicose veins, including their anatomy, causes, clinical presentation, investigations, and management. It describes the superficial and deep venous systems of the lower limbs. Varicose veins are caused by incompetent valves in the veins that allow blood to pool. Clinical features include pain, heaviness, edema and ulceration. Investigations like duplex ultrasound can identify reflux and rule out deep vein thrombosis. Management includes compression therapy, sclerotherapy, surgery like vein stripping and ablation, and addressing incompetent perforators. Recurrence after treatment may occur if the long saphenous vein or perforators were not properly addressed in the initial procedure.
This document discusses endovenous laser ablation (EVLA) for treating varicose veins. It begins with definitions of different types of abnormal veins like telangiectasias, reticular veins, and varicose veins. It then discusses patient assessment, which involves medical history, physical examination, and duplex ultrasound scan. For patients with superficial venous reflux and varicose veins, treatment options discussed include conservative management, sclerotherapy, and thermal ablation techniques like EVLA. EVLA involves using laser energy to close off diseased veins. The document provides details on patient selection, procedural technique, and outcomes of EVLA for varicose vein treatment.
A modified radical mastectomy removes the breast tissue, nipple, skin, and lymph nodes in levels I and II of the axilla, while the Patey modification also removes the pectoralis minor muscle to access level III lymph nodes; complications can include lymphedema if radiation is also used post-surgery or seromas which are usually drained with needles though drains placed during surgery help prevent them. The procedure involves dissecting the breast from the chest wall and axilla while preserving key nerves and blood vessels.
This document discusses clinical features, signs, classifications, complications, and theories of venous disease and varicose veins. Key points include:
- Common symptoms are aching, heaviness, and leg pain that is worsened by standing and improved by elevation.
- Signs include dilated, tortuous subcutaneous veins and complications such as ulceration, eczema, and bleeding.
- Varicose veins are classified clinically, etiologically, anatomically, and pathophysiologically.
- Complications include hemorrhage, dermatitis, ulcers, and deep vein thrombosis.
- Two theories for venous ulcer formation are the fibrin cuff and white cell trapping theories, which involve
This document discusses wound healing and the treatment of chronic ulcers. It covers the following key points:
1. Wound healing occurs in four stages: haemostasis, inflammation, proliferation, and remodeling. Chronic ulcers fail to heal due to prolonged inflammation.
2. Common causes of non-healing ulcers include local infection or trauma, venous or arterial insufficiency, and systemic factors like diabetes or malnutrition.
3. Treatment involves correcting underlying causes, wound cleaning and dressings, and revascularization for arterial ulcers using techniques like bypass surgery, angioplasty, or stenting to improve blood flow.
This document provides information on the management of inguinal hernias. It discusses the historical development of hernia repair techniques from the 15th century to modern methods. Investigation methods such as ultrasound, CT, MRI, and herniography are outlined. Surgical techniques for hernia repair including herniotomy, herniorrhaphy, hernioplasty, and laparoscopic repair are described in detail. Post-operative complications of open and laparoscopic hernia repair are also reviewed. The conclusion states that laparoscopic and Lichtenstein open mesh repairs have good long-term results and low recurrence rates compared to other open hernia repair techniques.
Ultrasound Assessment Of Chronic Venous Diseasejavier.fabra
This document summarizes how to perform an ultrasound scan to assess chronic venous disease in the lower limbs. It outlines the anatomy of the venous system, including the superficial and deep veins and perforating veins. It describes how to evaluate for reflux in the veins using Doppler ultrasound, and provides guidance on scanning the different areas of the lower limbs to investigate sources of reflux or varicose veins. The goal is to identify reflux or obstructions in the deep or superficial veins and perforating veins to determine the cause of chronic venous disease.
This document provides an overview of peroral endoscopic myotomy (POEM) for the treatment of achalasia. POEM is a minimally invasive endoscopic procedure that involves cutting the circular muscle layer of the lower esophageal sphincter through a submucosal tunnel. The procedure was first performed in humans in 2008 and involves creating a mucosal entry point, tunneling in the submucosal plane, performing a circular myotomy, and closing the mucosal entry point. POEM has been shown to be as effective as laparoscopic Heller myotomy with benefits of being less invasive with shorter hospital stays and no external scars. Complications are generally minor but include mucosal injuries and
The document discusses varicose veins, including their anatomy, causes, symptoms, diagnosis, and treatment options. It describes the superficial and deep venous systems in the lower limbs and how perforator veins connect them. Incompetent valves in the perforating veins can allow reverse blood flow and cause varicose veins. Conservative treatments include compression stockings and sclerotherapy to occlude veins. Surgical options are vein stripping or ligation of incompetent veins and perforators. Newer minimally invasive treatments like endovenous laser ablation use laser energy to occlude veins.
Varicose veins are dilated, elongated and tortuous veins typically found in the legs. They are caused by increased pressure in the veins due to valve incompetence or obstruction. The great saphenous vein and small saphenous vein are the most commonly affected veins. Treatment options include conservative measures, compression stockings, sclerotherapy, and surgery depending on the severity and symptoms.
Recent management of primary varicose veinsMohamed Kabis
This document discusses the classification and management of primary varicose veins. It describes the CEAP classification system used to classify venous disease based on clinical, etiological, anatomical and pathophysiological factors. For primary varicose veins, the recommended treatments include venoactive drugs, compression stockings, saphenous vein ablation or stripping, sclerotherapy, and phlebectomy. Recurrence after surgery is common due to neovascularization, and endovenous ablation has become the preferred treatment for recurrent varicose veins.
Whipple's procedure - Indications, Steps, ComplicationsVikas V
The document describes the Whipple procedure, which was first performed by Dr. Allen Whipple in 1935. It involves removing the head of the pancreas, part of the small intestine, the gallbladder, and bile duct. The original procedure was done in two stages but is now typically done in one stage. The document outlines the key steps of the modern Whipple procedure, including mobilizing tissues, dividing vessels, transecting organs, and reconstructing the digestive and biliary systems with anastomoses. Vascular resection of veins like the splenic vein may sometimes be required as well.
Polidocanol Endovenous Microfoam: Where Are We?Vein Global
By: Nick Morrison, MD, FACS, FACPh, RPhS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
This document discusses thermal ablation as an alternative to surgery for treating great saphenous veins. It notes that randomized trials show thermal ablation is at least non-inferior to surgery for procedural success and clinical outcomes, with improved patient quality of life. The advantages of thermal ablation are outlined as being totally outpatient, avoiding sutures and reducing risks of infection, lymphatic damage, and limitations from anticoagulation. Key steps for performing thermal ablation are described, including patient selection, setting, ultrasound use, catheter placement skills, tumescent anesthesia, and ensuring sufficient heat delivery to the vein wall for durable success. Various technologies for heat delivery are mentioned, and segmental ablation is noted to allow faster patient recovery compared
The document discusses varicose veins, which are distended and dilated veins caused by blood pooling in the legs. It describes the venous system and explains that varicose veins occur due to defects in valves that normally prevent backflow of blood. Symptoms include heaviness, pain, swelling, and skin discoloration or ulcers. Treatment options addressed are compression therapy, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Varicose Veins were first documented by Sushrutha in India as "Siragranthi". The first surgery for varicose veins was described by Galen in 2nd century AD. Varicose veins are dilated, elongated and tortuous superficial veins caused by venous hypertension due to valvular incompetence or obstruction. Investigations like Doppler ultrasound and air plethysmography help in diagnosis. Management includes conservative measures, sclerotherapy, surgery like vein stripping or ligation of saphenofemoral junction, and newer minimally invasive procedures like radiofrequency ablation and endovenous laser ablation.
Classification of arterial disease and invstigationsSumer Yadav
This document discusses the classification and investigation of arterial disease. It describes different types of arterial disease including acute limb ischemia from embolism or trauma, and chronic disease from atherosclerosis, Takayasu arteritis, or collagen vascular diseases. Features of lower limb arterial stenosis are outlined. The Fontaine classification of limb ischemia is presented ranging from asymptomatic to gangrene. Investigations discussed include general tests, ankle-brachial pressure index, treadmill testing, tonoscillography, plethysmography, arteriography using Seldinger technique, ultrasound and Doppler flow measurement, duplex scanning, computed tomographic angiography, and magnetic resonance angiography. Complications of arteriography and uses of various imaging
This presentation gives general overview about different aspects of PILONIDAL DISEASE including pathophysiology, etiology, clinical Presentation, different treatment options available etc
Chronic venous insufficiency is a condition where the veins in the legs cannot pump enough blood back to the heart. It involves dilated, tortuous veins and valvular incompetence, mainly in the legs. Risk factors include age, gender, heredity, pregnancy, obesity, and prolonged standing or sitting. Symptoms include leg pain, swelling, skin changes like eczema or ulcers. Treatment options include compression therapy, sclerotherapy, and surgery to ligate or strip varicose veins.
This document provides information about varicose veins, including their anatomy, causes, clinical presentation, investigations, and management. It describes the superficial and deep venous systems of the lower limbs. Varicose veins are caused by incompetent valves in the veins that allow blood to pool. Clinical features include pain, heaviness, edema and ulceration. Investigations like duplex ultrasound can identify reflux and rule out deep vein thrombosis. Management includes compression therapy, sclerotherapy, surgery like vein stripping and ablation, and addressing incompetent perforators. Recurrence after treatment may occur if the long saphenous vein or perforators were not properly addressed in the initial procedure.
This document discusses endovenous laser ablation (EVLA) for treating varicose veins. It begins with definitions of different types of abnormal veins like telangiectasias, reticular veins, and varicose veins. It then discusses patient assessment, which involves medical history, physical examination, and duplex ultrasound scan. For patients with superficial venous reflux and varicose veins, treatment options discussed include conservative management, sclerotherapy, and thermal ablation techniques like EVLA. EVLA involves using laser energy to close off diseased veins. The document provides details on patient selection, procedural technique, and outcomes of EVLA for varicose vein treatment.
A modified radical mastectomy removes the breast tissue, nipple, skin, and lymph nodes in levels I and II of the axilla, while the Patey modification also removes the pectoralis minor muscle to access level III lymph nodes; complications can include lymphedema if radiation is also used post-surgery or seromas which are usually drained with needles though drains placed during surgery help prevent them. The procedure involves dissecting the breast from the chest wall and axilla while preserving key nerves and blood vessels.
This document discusses clinical features, signs, classifications, complications, and theories of venous disease and varicose veins. Key points include:
- Common symptoms are aching, heaviness, and leg pain that is worsened by standing and improved by elevation.
- Signs include dilated, tortuous subcutaneous veins and complications such as ulceration, eczema, and bleeding.
- Varicose veins are classified clinically, etiologically, anatomically, and pathophysiologically.
- Complications include hemorrhage, dermatitis, ulcers, and deep vein thrombosis.
- Two theories for venous ulcer formation are the fibrin cuff and white cell trapping theories, which involve
This document discusses wound healing and the treatment of chronic ulcers. It covers the following key points:
1. Wound healing occurs in four stages: haemostasis, inflammation, proliferation, and remodeling. Chronic ulcers fail to heal due to prolonged inflammation.
2. Common causes of non-healing ulcers include local infection or trauma, venous or arterial insufficiency, and systemic factors like diabetes or malnutrition.
3. Treatment involves correcting underlying causes, wound cleaning and dressings, and revascularization for arterial ulcers using techniques like bypass surgery, angioplasty, or stenting to improve blood flow.
This document provides information on the management of inguinal hernias. It discusses the historical development of hernia repair techniques from the 15th century to modern methods. Investigation methods such as ultrasound, CT, MRI, and herniography are outlined. Surgical techniques for hernia repair including herniotomy, herniorrhaphy, hernioplasty, and laparoscopic repair are described in detail. Post-operative complications of open and laparoscopic hernia repair are also reviewed. The conclusion states that laparoscopic and Lichtenstein open mesh repairs have good long-term results and low recurrence rates compared to other open hernia repair techniques.
Ultrasound Assessment Of Chronic Venous Diseasejavier.fabra
This document summarizes how to perform an ultrasound scan to assess chronic venous disease in the lower limbs. It outlines the anatomy of the venous system, including the superficial and deep veins and perforating veins. It describes how to evaluate for reflux in the veins using Doppler ultrasound, and provides guidance on scanning the different areas of the lower limbs to investigate sources of reflux or varicose veins. The goal is to identify reflux or obstructions in the deep or superficial veins and perforating veins to determine the cause of chronic venous disease.
This document provides an overview of peroral endoscopic myotomy (POEM) for the treatment of achalasia. POEM is a minimally invasive endoscopic procedure that involves cutting the circular muscle layer of the lower esophageal sphincter through a submucosal tunnel. The procedure was first performed in humans in 2008 and involves creating a mucosal entry point, tunneling in the submucosal plane, performing a circular myotomy, and closing the mucosal entry point. POEM has been shown to be as effective as laparoscopic Heller myotomy with benefits of being less invasive with shorter hospital stays and no external scars. Complications are generally minor but include mucosal injuries and
The document discusses varicose veins, including their anatomy, causes, symptoms, diagnosis, and treatment options. It describes the superficial and deep venous systems in the lower limbs and how perforator veins connect them. Incompetent valves in the perforating veins can allow reverse blood flow and cause varicose veins. Conservative treatments include compression stockings and sclerotherapy to occlude veins. Surgical options are vein stripping or ligation of incompetent veins and perforators. Newer minimally invasive treatments like endovenous laser ablation use laser energy to occlude veins.
Varicose veins are dilated, elongated and tortuous veins typically found in the legs. They are caused by increased pressure in the veins due to valve incompetence or obstruction. The great saphenous vein and small saphenous vein are the most commonly affected veins. Treatment options include conservative measures, compression stockings, sclerotherapy, and surgery depending on the severity and symptoms.
Recent management of primary varicose veinsMohamed Kabis
This document discusses the classification and management of primary varicose veins. It describes the CEAP classification system used to classify venous disease based on clinical, etiological, anatomical and pathophysiological factors. For primary varicose veins, the recommended treatments include venoactive drugs, compression stockings, saphenous vein ablation or stripping, sclerotherapy, and phlebectomy. Recurrence after surgery is common due to neovascularization, and endovenous ablation has become the preferred treatment for recurrent varicose veins.
Whipple's procedure - Indications, Steps, ComplicationsVikas V
The document describes the Whipple procedure, which was first performed by Dr. Allen Whipple in 1935. It involves removing the head of the pancreas, part of the small intestine, the gallbladder, and bile duct. The original procedure was done in two stages but is now typically done in one stage. The document outlines the key steps of the modern Whipple procedure, including mobilizing tissues, dividing vessels, transecting organs, and reconstructing the digestive and biliary systems with anastomoses. Vascular resection of veins like the splenic vein may sometimes be required as well.
Polidocanol Endovenous Microfoam: Where Are We?Vein Global
By: Nick Morrison, MD, FACS, FACPh, RPhS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
This document discusses thermal ablation as an alternative to surgery for treating great saphenous veins. It notes that randomized trials show thermal ablation is at least non-inferior to surgery for procedural success and clinical outcomes, with improved patient quality of life. The advantages of thermal ablation are outlined as being totally outpatient, avoiding sutures and reducing risks of infection, lymphatic damage, and limitations from anticoagulation. Key steps for performing thermal ablation are described, including patient selection, setting, ultrasound use, catheter placement skills, tumescent anesthesia, and ensuring sufficient heat delivery to the vein wall for durable success. Various technologies for heat delivery are mentioned, and segmental ablation is noted to allow faster patient recovery compared
Does All Saphenous Reflux Need Ablation?Vein Global
By: Paul M. McNeill, MD, FACS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
Outcomes of Venous Interventions in C5-6 DiseaseVein Global
By: Mark H. Meissner, MD
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
2 Things New! 1290nm Laser & New Saphenous Vein Closure DeviceVein Global
By: Lowell S. Kabnick, MD
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
By: Seshadri Raju, MD, FACS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
Venous Leg Ulcers: Wound Preparation & Adjuvants to HealingVein Global
By: William Marston, M.D.
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
Endovenous Laser Ablation in the Treatment of Recurrent Varicose VeinsMinnesota Vein Center
Aims:
Determine how many patients presented to a single center Vein Specialty Clinic with varicose veins despite prior surgical intervention.
Identify the site and cause of varicose veins in patients with prior surgical intervention.
Assess the role of endovenous laser ablation in the retreatment of varicose veins in patients with prior intervention.
Should C2 Disease Classification Be Broken Down Further? Who Progresses to C4?Vein Global
By: Nick Morrison, MD, FACS, FACPh, RPhS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
This document discusses varicose vein surgery. It provides an overview of the indications for varicose vein surgery, including pain, swelling, skin changes, ulceration, and appearance. It describes the importance of preoperative evaluation using duplex ultrasound mapping to identify refluxing veins and develop a surgical plan. Finally, it outlines procedural considerations for varicose vein treatment, including the goals of ablating reflux from deep to superficial veins and removing all branch varicosities.
Radio Frequency Ablation (RFA Treatment ) -Modern Technology for management l...SafeMedTrip
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Choosing the Appropriate Truncal Vein Closure DeviceVein Global
By: Steve Elias, MD, FACS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
(1) 4% of patients evaluated for leg vein problems had previously undergone vein "stripping" surgery, with recurrent varicose veins present in 71 patients. (2) Recurrence was often due to residual or accessory saphenous veins, perforator veins, or neovascularization. (3) 73% of patients were treated with endovenous laser ablation (EVLA) of saphenous veins, with the majority reporting symptomatic improvement and vein closure at follow-up.
How do Laser Wavelengths & Fibers Differ Clinically?Vein Global
By: Thomas M. Proebstle, M.D.
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
By: Mark J. Garcia MD, MS, FSIR
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
This document discusses varicose veins (VV), including their definition, anatomy, pathophysiology, etiology, clinical presentation, investigations, treatment options, and management approach. VV are dilated, tortuous superficial veins in the lower limbs. Treatment involves initial conservative measures for 3 months, including compression therapy and pharmacologic agents for symptomatic patients or those with reflux. Refractory patients may undergo ablative therapies like sclerotherapy, radiofrequency ablation, or laser ablation to treat refluxing veins. The goals of treatment are improved symptoms and appearance.
The Important Nerves During Venous AblationVein Global
By: John Mauriello, M.D.
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
By: Steve Elias MD FACS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
Who Needs More Testing Beyond Venous Duplex?Vein Global
By: William Marston, MD
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
When is MR Venography Useful? What makes it so Operator Dependent?Vein Global
By: Constantino S.Peña
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
This document provides information on varicose veins, including their history, causes, symptoms, diagnosis, and treatment. Some key points:
- Varicose veins are caused by incompetent valves in the veins that lead to increased pressure in the veins below. This can cause pain and skin changes.
- Diagnosis involves examination of the veins and skin, and tests like ultrasound and Doppler to evaluate reflux and blockages.
- Treatment ranges from compression stockings for mild cases to surgical procedures like vein stripping or ablation for more severe cases. Surgery aims to remove damaged veins and relieve pressure.
- Varicose veins are common, affecting about half the adult population to some degree. Risk factors
The document discusses the anatomy of the great saphenous vein (GSV) and treatments for varicose veins. It describes the GSV as the main superficial vein in the leg that connects to the femoral vein. It summarizes current treatments as including sclerotherapy, surgery such as vein stripping, and newer endovascular techniques like radiofrequency ablation and endovenous laser therapy to close the GSV non-invasively. These minimally invasive methods are presented as promising new alternatives to surgery with benefits of shorter recovery times and fewer complications.
Deep venous thrombosis is the formation of a blood clot in the deep veins, usually in the legs. It can progress and cause a pulmonary embolism, a potentially life-threatening blockage in the lungs. Risk factors include prolonged bed rest, obesity, older age, and inherited or acquired hypercoagulable states. Diagnosis involves ultrasound, venography or MRI. Treatment is usually blood thinners to prevent clot extension and embolism.
Venous thromboembolism refers to blood clots forming in the veins, which can break off and travel to the lungs (pulmonary embolism). Deep vein thrombosis is a blood clot that forms deep in the leg veins and can progress upwards. Superficial vein thrombosis involves shallow leg veins near the skin surface. Risk factors include surgery, trauma, cancer, genetic conditions. Symptoms include leg pain/swelling. Diagnosis involves D-dimer testing and ultrasound imaging of leg veins. Treatment is blood thinners to prevent clot growth and embolism.
Varicose veins are abnormally dilated and twisted veins, most commonly occurring in the legs. They are caused by weakening of the vein walls and valves that do not function properly to direct blood flow back to the heart. The document outlines the anatomy of veins in the lower limbs, causes of varicose veins including heredity and prolonged standing, types of varicose veins, diagnosis through examination and investigations like ultrasound, and treatments including compression and surgery. Prevention methods include exercising legs regularly, maintaining a healthy weight, avoiding tight clothing and high heels, and wearing compression stockings.
The document discusses varicose veins, including their anatomy, causes, risk factors, symptoms, diagnostic procedures, and treatment options. It describes the superficial and deep venous systems, including the great and small saphenous veins. It covers non-surgical treatments like compression stockings and sclerotherapy, as well as surgical procedures for varicose vein removal including stripping, phlebectomy, laser ablation, and radiofrequency ablation.
This document provides a summary of varicose veins including:
- Incidence rates that are higher in women and industrialized countries
- Risk factors such as family history, pregnancy, prolonged standing, and obesity
- Presentation with dilated, tortuous veins and possible complications like eczema or ulcers
- Examination techniques including looking for varicose veins while standing and using tests like cough impulse and Doppler ultrasound
- Treatment options ranging from compression stockings and sclerotherapy to surgical procedures like vein stripping
Peripheral arterial disease (PAD) is a circulatory condition where narrowed arteries reduce blood flow to the limbs, typically causing leg pain with walking. Exercise and lifestyle changes can help manage PAD symptoms and prevent progression. A study found that arm ergometry exercise alone significantly improved walking ability and time to onset of pain in PAD patients over 12 weeks compared to baseline. Specific yoga poses and breathing techniques may also help PAD symptoms.
The document discusses varicose veins and venous thrombosis. It defines varicose veins as dilated, elongated veins caused by venous hypertension. Valves in the veins and factors like muscle contraction help venous return. Varicose veins are caused by prolonged standing, family history, pregnancy, aging and other factors. Symptoms include leg pain, swelling and heaviness. Treatment involves leg elevation, compression stockings, sclerotherapy and surgery. Venous thrombosis occurs when blood clots form in the veins. Risk factors include immobility, surgery and genetic factors. Symptoms are pain, swelling and fever. Treatment aims to prevent further clots and embolisms with anticoagulants, compression and exercise. Nursing
Deep vein thrombosis is a blood clot that forms in the deep veins, usually of the legs. It can dislodge and travel to the lungs, causing a pulmonary embolism. Risk factors include surgery, trauma, cancer, and prolonged immobility. Symptoms may include leg pain, swelling, redness, and warmth. Diagnosis involves assessing risk factors and testing such as ultrasound, venography, MRI, or D-dimer blood test. Treatment focuses on blood thinners to prevent clot growth and embolism.
Deep venous thrombosis (DVT) occurs when a blood clot forms in the deep veins of the leg. It can cause leg pain and swelling. Left untreated, a DVT may travel to the lungs and cause a pulmonary embolism. Risk factors include age over 75, cancer, recent surgery or injury, and genetic conditions that increase clotting. Diagnosis involves assessing risk factors, examining leg swelling and pain, and imaging tests like ultrasound or CT scans. Treatment focuses on blood thinners to prevent clot growth and reduce risk of embolism. Guidelines recommend anticoagulation for confirmed DVT along with compression stockings and following up with repeat imaging.
This document discusses the clinical aspects of veins, including:
1) The anatomy of the venous system in the leg, including deep and superficial veins.
2) The physiology of venous blood flow, which is governed by arterial pressure, the calf musculovenous pump, gravity, and venous valves.
3) Common vein disorders like venous thrombosis, thrombophlebitis, and chronic venous insufficiency which can result from valve damage or reflux and cause complications like ulceration.
Anatomy, Physiology & Classification of Varicose VeinsRavulJindal
Varicose veins are dilated, tortuous, elongated superficial
veins that are usually seen in the legs. It can occur in
any age group but most common in mid- twenties. It is
a progressive disease. It is more common in females than in
males.
Varicose veins are dilated, tortuous veins caused by valve incompetence allowing blood to pool. Key risk factors include aging, family history, pregnancy, obesity, and occupations requiring long periods of standing. Patients present with darkened, bulging veins and symptoms like aching, heaviness, and cramping. Diagnosis involves physical exam and ultrasound, with treatment ranging from compression stockings to sclerotherapy, laser ablation, and surgery depending on severity. Self-care like exercise, weight loss, and elevation can help prevent worsening.
Varicose veins are abnormally enlarged superficial veins that can cause symptoms like aching or throbbing. They are caused by factors that increase pressure in the veins like prolonged standing, obesity, pregnancy, or genetics. Varicose veins are diagnosed through physical examination and sometimes ultrasound. Treatment depends on severity but may include compression stockings, minimally invasive procedures to close veins, or small incision surgery. Lifestyle changes like exercise and weight loss can help prevent varicose veins.
This document provides an overview of deep vein thrombosis (DVT). It defines DVT as a blood clot forming in the deep veins of the legs or pelvis. The document outlines key aspects of DVT including epidemiology, anatomy, pathophysiology, risk factors, diagnosis, management, and complications. Diagnosis involves imaging tests like ultrasound and assessment of clinical prediction rules like the Wells criteria. Treatment aims to prevent dangerous complications such as pulmonary embolism, while management seeks to reduce long-term issues like post-thrombotic syndrome.
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Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
1. Advances In Varicose Vein Treatment Louis Grella, MD, F.A.C.S. Medical Director Advanced Vein Care Louis Grella, MD F.A.C.S. www.Advancedveincare.org
2. Vascular Training Experience Stony Brook Medical Center SUNY Syracuse: MD Degree Flushing Hospital Medical Center : General Surgery SUNY Stony Brook: Vascular Surgery Fellow North Port VA: Vascular Laboratory training Jersey Coast Vascular Institute: Vascular Surgery practice Advanced Vein Care: Medical Director Louis Grella, MD F.A.C.S. www.Advancedveincare.org
17. Many unnamed branches and Tributaries Louis Grella, MD F.A.C.S. www.Advancedveincare.org
18. Venous Disease Superficial System Varicose Veins Spider Veins Venous Malformation (birth marks and others) Venous Reflux Leg Swelling Venous Ulceration
19.
20. Calf Muscle Pump Just like the in heart we have diastole and systole This is why stretching your legs or walking improves circulation
21.
22. From the foot up to the heart Superficial vein disease always starts with abnormal valves and interruption to normal flow called venous reflux
23. Abnormal flow = Venous Reflux Damaged Valves Blood flows to the skin Blood is pushed distally and proximally Close loop recirculation Blood is retained in the leg Increased volume of blood (heaviness Fatigue) Increased venous pressure Veins Dilate (varicose veins)
25. Symptoms of venous reflux Leg Fatigue Leg Heaviness Itching and pain along veins Varicose Veins Spider veins (not always 2nd to reflux) Leg swelling( think DVT 1st) Skin Discoloration (lipo dermatosclerosis) Venous ulceration
26.
27. Remember this is only a manifestation of the underlying disease
41. Venous Stasis Ulcers Differential Diagnosis Venous ulcerations 50% on non healing ulcers Arterial ulcers in about 10% Malignancy : basal and squamous cell, lymphoma Infections: HIV, fungal Collagen vascular disorders: Lupus ec. Lymphatic obstruction Affects over 1 million people in the US 100,000 are disabled from this More common in elderly population
42. Venous Stasis Ulcers Etiology Venous Hypertension Venous reflux DVT Varicose veins Edema Biological factors Leakage of proteins impedes diffusion O2 Aggregation of white cells Block capillary flow Release on inflammatory proteins
43. Diagnosis of venous disease Physical exam Appearance Trendelenburg test Palpation Hand Doppler Duplex Examination R/O DVT Size of veins Map out superficial veins Locate the site of reflux Reflux 0.5 sec in GSV and 1 sec in deep system Find refluxing perforators
44. Venous Duplex R/O DVT Scan deep system in cross section, look for total compression of the vein in B mode Examine from the femoral vein to the below the pop Check flow characteristics with Doppler Sharp up stroke with calf compression Small or No flow with relaxation R/O DVI This must be done with patient upright Reversal of flow of > 1 sec with Valsalva or after calf compression
45. Duplex Anatomy Locate GSV Junction(FSJ) Look for Mickey's hat Normal venous flow Look at valve Venous flow is opposite the artery
52. Anatomy of Great Saphenous Femoral junction has multiple branches Runs on medial side of leg down to ankle Found in a facial sheet Perforators connect it to deep system
67. Sclerotherapy Cumulate vein with needle Inject Sclerosing Solution Sotradecol (Sodium tetradecyl sulfate) Pilodocanol Hyper tonic Saline Foam (Mix STS with air and make bubbles) Intravenous injection causes intima inflammation and thrombus formation
68. Sclerotherapy Use Neovascularization Perforators Clean up after Phlebectomies Spider veins Reticular veins GSV: can closure the, but has high recurrence rate