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Varicose veins are permanent dilation of vein, usually in lower limb. The lower limb varix is a subcutaneous vein whose diameter is greater than 3 mm. Varices are usually winding. They are the site of a blood reflux (varicose veins Austin). One of most common diseases of adult population, with 75% of Country will be achieved, and 25% require medical or surgical care.

A flexible guide, also known as "stripper" is inserted into vein through the ankle so it comes out at the other end, in groin. An "olive" having a larger diameter than the vein is attached to bottom of stripper. When will descend thereof olive cause the vein to be thus removed from the leg.

However, stripping by invagination is more common. This method consists of returning the saphenous vein on itself, such as a glove, on a wire. This is less traumatic for the patient and thus limits postoperative hematoma. After stripping, small residual varices collaterals can be removed for a better aesthetic result. Tiny incisions is made by the surgeon through which the residual vein are extracted with a hook. This technique is called phlebectomy.

Compression stockings are used to compress the dilated vein and restore a better blood circulation. Depending on the level, we talk about low or tights or socks. There are several compression forces adapted to evolution of disease and the products are purchased in pharmacies and orthopedic shops. It is useful to wear them as often as possible, hence the importance of choosing a product adapted to morphology and each activity. However, there are many cases where installation is difficult (pain, joint problems ...) or poorly tolerated (heat ...).

Complications can be deep phlebitis (5.3%) 12, a pulmonary embolism (0.06%), a level of complication as wound infection (2.2%), nerve damage with residual anesthetic at ankle. The recurrence rate is 5-60% at 10 years according to studies. It is also noteworthy that this surgery removes the saphenous trunks that may be useful in future if the patient needs a coronary artery bypass or members, as the saphenous trunks, even among the carrier about varices vein.

Symptoms include feeling of heavy legs and fatiguable. There may be swelling, itching. These symptoms are common but usually unrelated to presence of a vein expansion. Clinical examination should also look for a cause of high venous compression (abdominal mass, gastrointestinal symptoms ...). Doppler ultrasound allows hemodynamically, echo-marking and mapping: the Doppler information and quantifies the flow of blood in vessels with their direction and ultrasound can view the reflux bridges.

This is a radiograph of venous network is carried out by injecting into vein of foot of a contrast product which is monitored progress. It is no longer practiced at all in balance sheet of varices. Its indications are now limited to study of deep venous system in balance sheet for a reconstructive surgery.

The method preserves venous capital that will be useful in case of need for coronary artery bypass or members, probability that increases with the aging of population. They allow the destruction of vein, after puncture of latter, by different methods: laser, steam, ... Sclerotherapy Endovenous laser treatment or radiofrequency are less aggressive techniques and postoperative less painful.