Conclusion
Varicose veins of the superficial venous system may be caused by primary or secondary reasons. Diagnosis can usually be made by clinical examination alone, but duplex scanning has become the gold standard for identifying abnormal veins with reflux. For some patients, varicose veins may be asymptomatic and may only be of cosmetic concern. However, treatment may be indicated for those who are symptomatic. Treatment options range from conservative management through lifestyle changes to compression therapy with elastic stockings to more invasive procedures, including surgical treatment, endovenous thermal ablations, and sclerotherapy. Compression therapy has been reported to relieve symptoms, but long-term outcomes and the recurrence and prevention of varicose veins have not been supported by evidence. Moreover, there is varying evidence on the efficacy of more invasive procedures on long-term outcomes regarding the recurrence of varicose veins and reflux.
Conclusion
Varicose veins of the superficial venous system may be caused by primary or secondary reasons. Diagnosis can usually be made by clinical examination alone, but duplex scanning has become the gold standard for identifying abnormal veins with reflux. For some patients, varicose veins may be asymptomatic and may only be of cosmetic concern. However, treatment may be indicated for those who are symptomatic. Treatment options range from conservative management through lifestyle changes to compression therapy with elastic stockings to more invasive procedures, including surgical treatment, endovenous thermal ablations, and sclerotherapy. Compression therapy has been reported to relieve symptoms, but long-term outcomes and the recurrence and prevention of varicose veins have not been supported by evidence. Moreover, there is varying evidence on the efficacy of more invasive procedures on long-term outcomes regarding the recurrence of varicose veins and reflux.
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