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Varicose veins 

Varicose veins
Varicose veins

Alun H. Davies

and A. C. Shepherd

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date: 04 July 2020

Varicose veins and chronic venous disorders are a common pathology affecting approximately a third of the Western population. However, pathophysiology and natural history of venous disease remains incompletely understood and is multifactorial in aetiology. Although many patients with varicose veins remain asymptomatic, complications including bleeding, thrombophlebitis, ulceration, and significant functional impairment due to a wide range of symptoms can occur, and warrant further investigation and treatment. Evidence-based guidelines have been published recently and are described in this chapter. The use of compression in the management of varicose veins has been successfully employed for hundreds of years both as a means of primary treatment and following therapy; however, evidence to support its use as primary management in minimally invasive therapies is lacking. Although compression and vein ablation are considered the main forms of treatment, phlebotrophic medical therapies also exist and may help to improve oedema in association with varicose veins.

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