Varicose veins are enlarged, tortuous, swollen veins, raised above the surface of the skin. They can occur anywhere but more common on legs because standing and walking upright increases the pressure in the veins of the lower body.http://www.veindoctor.in/vericose-vein.html

2. WHAT IS VARICOSE VEINS
Varicose veins are abnormally
dilated, tortuous, superficial
veins caused by incompetent
venous valves. Most commonly
seen in lower extremities

3. LOWER LIMB VENOUS ANATOMY

4. VALVES
Maintain unidirectional
flow.
Extremity to heart.
Superficial to deep.

5. PERFORATORS
Connects deep
and superficial
systems
Flow normally from
superficial to deep

6. MUSCLE PUMP
Contractions propel
blood toward heart
Relaxation draws blood
from superficial veins
and pour into deep veins

7. ETIOLOGY
HERIDITARY
LACK OF
EXCERCISE
HORMONAL
MEDICATION
SURGERY/
TRAUMA

8. ETIOLOGY
OBESITY
PREGNANCY

9. ETIOLOGY
AGE OVER
40
JOBS REQ LONG
STANDING/SITTING
HOURS

10. STAGES OF VARICOSE VEINS
0.No visible
venous disease
1.Telangiectasias
or reticular veins
2.Visible Varicose
veins
3.Oedema
4.Skin changes
5.Healed ulceration
6.Active ulceration

11. STAGE 0 NO VISIBLE DISEASE

12. STAGE 1 TELENGECTASIA / RETICULAR VEINS

13. STAGE 2 VISIBLE VARICOSE VEINS

14. STAGE 3 OEDEMA

15. STAGE 4 SKIN CHANGES

16. STAGE 5 HEALED ULCERATION

17. STAGE 6 ACTIVE ULCERATION

18. SIGNS AND SYMPTOMS
Aching,
heavy
legs
• Often worse at night
and after exercise

19. SIGNS AND SYMPTOMS
Brownish-Blue shiny skin
discoloration near the
affected veins
Statis dermatitis or venous
eczema
Redness, dryness and
itchiness

20. SIGNS AND SYMPTOMS
Cramps
Restless leg syndrome
Atrophie blanche
• Whitened, irregular scar-like patches on
the ankles

21. 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

22. DIAGNOSTICS
Venous Doppler examination of both legs
Superficial and deep venous system evaluated

23. TRADITIONAL TREATMENT
Surgical ligation and stripping
High ligation
Injection sclerotherapy
Phlebectomy
Only treats the visible varicosities with out treating the actual problem

24. MODERN ADVANCED TREATMENT
Hybrid technique
Endovenous laser treatment
plus
Foam sclerotherapy

25. 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

26. 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.

27. 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.

28. FOAM SCLEROTHERAPY

29. DIFFERENCE BETWEEN
SURGERY /EVLT
Req- general
anaestheis
Pain, bruising
and scarring
Req -Hospital
admission
Req only
sedation
No pain, bruising,
scarring
Day care
procedure

30. Reoccurance
25%
Not suitable for
every pt
Long healing
time
Reoccurance 5%
No age limit, almost
suitable for every pt
Can return to work
the next day
DIFFERENCE BETWEEN
SURGERY /EVLT

31. SURGERY / EVLT

32. BEFORE AND AFTER

33. BEFORE AND AFTER

34. BEFORE AND AFTER

35. BEFORE AND AFTER

36. PREVENTION

37. PREVENTION
Elevate legs while sleeping
Regular exercise daily
Wear stockings regularly
No continuos sitting/ standing
for more than 30 minutes

38. FOR MORE INFORMATION
CONTACT