Currently, the surgical treatment of varicose veins has not changed its basic principles, but with the advent of a variety of techniques, it can achieve greater radicalness, cosmetic effect and safety. There are modern surgical techniques that allow not to remove all available veins, but only pathologically altered ones.
The practice of modern phlebologists has firmly entered:
- small incisions, made taking into account the lines of skin tension
- atraumatic soft tissue preparation
- closure of surgical wounds with an intradermal suture or with the help of special adapters
Any patient during the initial appointment with a phlebologist must undergo all diagnostic procedures:
- Duplex angiography
- Doppler ultrasound
- Occlusive venous plethysmography
- Reflective rheography
- Venous pressure measurement
The survey should provide answers to the following questions:
- what is the cause of varicose veins (whether deep veins are affected)
- is there reflux through the sapheno-femoral and sapheno-popliteal fistula
- where is the sapheno-popliteal fistula located
- what is the condition of the valves of the great and small saphenous veins
- whether there is perforant reflux and where it is localized
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