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Review
. 2006 Aug 5;333(7562):287-92.
doi: 10.1136/bmj.333.7562.287.

Varicose veins and their management

Affiliations
Review

Varicose veins and their management

Bruce Campbell. BMJ. .
No abstract available

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Figures

Fig 1
Fig 1
Skin changes (lipodermatosclerosis) caused by venous hypertension. Recognition of skin damage is fundamental in examination of varicose veins
Fig 2
Fig 2
Main superficial veins of the legs commonly affected by varicose veins. Incompetence at the saphenofemoral junction in the groin is the commonest cause of reflux from the deep to superficial systems, but there are many other potential sites. Incompetence of calf perforators is not (as was once believed) a common and important problem, and when present it is often corrected by long saphenous vein surgery. (The long and short saphenous veins are also called the great and small saphenous veins5)
Fig 3
Fig 3
Duplex ultrasound scan of varicose veins showing the short saphenous vein (SSV) joining the popliteal vein (PV) with the popliteal artery (PA) adjacent. The patient is standing, and the calf has just been squeezed and released: the colour indicates reflux down the short saphenous vein as a result of an incompetent valve at the saphenopopliteal junction
Fig 4
Fig 4
Foam sclerotherapy: the short saphenous vein is being cannulated under duplex ultrasound guidance before injection of foam

References

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