varicose veins


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Related to varicose veins: Spider veins

varicose veins

a condition in which the superficial veins, esp of the legs, become tortuous, knotted, and swollen: caused by a defect in the venous valves or in the venous pump that normally moves the blood out of the legs when standing for long periods

Varicose Veins

 

a change in the veins expressed in sacculate dilation, increase in length, and the formation of convolutions and nodular glomeris. The disease most often affects veins of the lower extremities and rectum and, more rarely, the veins of the spermatic cord and the esophagus. Women are affected three times more frequently than men. Most significant in the occurrence of varicose veins are congenital weakness of the venous walls, blood-vessel anomalies, changes in the elasticity of the muscle layer, and valvular insufficiency. Velocity of blood flow in the dilated veins slows, which often leads to formation of thrombi in them. Difficult outflow of blood resulting from thrombosis of the veins or constipation and pressure on the veins of the small pelvis from a tumor or, in women, from the pregnant uterus promote the development of the disease. Varicose veins often occur with flat feet. Sometimes they develop in persons who engage in heavy physical labor (blacksmiths, stevedores) or in those whose occupations involve long hours of standing (cooks, barbers, waitresses, and so on). With varicose veins of the lower extremities, the surface (subcutaneous) veins are the ones predominantly affected. The disease develops gradually. Patients complain of a sensation of heaviness in the affected leg, of rapid fatigue, and puffiness—at first passing and in later stages constant. Sometimes a varicose ulcer develops on the affected leg. Dilated veins are usually readily visible through the skin. Treatment depends on the degree of evidence of symptoms and on the extent of the pathological process. In early stages of varicose veins that are not severely manifested, treatment consists of binding the legs with an elastic bandage or the wearing of rubber stockings. Severely manifested varicose veins necessitate surgical treatment. Prophylaxis, when there is a hereditary predisposition to varicose veins, consists of general strengthening measures (therapeutic exercise, vitamin therapy, air and sea baths, and so forth). For women during pregnancy, beginning with the first two to three months, at the first signs of varicose veins of the extremities elastic bandaging should be used and continued into the first months postpartum.

REFERENCES

Tal’, I. M. Varikoznoe rasshirenie ven nizhnikh konechnostei. Leningrad, 1961.
Mamamtavrishvili, D. G. Bolezni ven. Moscow, 1964.

R. S. KOLESNIKOVA

References in periodicals archive ?
In women, it is most commonly noticed that the first occurrence of varicose veins is during pregnancy.
But only half of them will know it because of visible varicose veins near the skin surface, explains Prof Whiteley.
Genes: If you've got a close family member with varicose veins, you're more likely to have them yourself.
Pregnant patients with varicose veins should be advised to wear graduate compression hose as these can help to minimize dilatation of the superficial veins as well as maintain competency of the valves within them.
Avoiding recurrence Since it's possible for varicose veins to recur, Dr.
Patients: The study included 117 patients treated for varicose veins with saphenous reflux, which consisted of 61 females and 56 males, with an age range of 21 years to 80 years (mean 57 years 12 years).
This was a prospective, qualitative and longitudinal study conducted on patients diagnosed with varicose veins at Jawaharlal Nehru Hospital (JNH), Rose Belle, Mauritius.
There were varicose veins in both lower limbs, more marked on the right, and tortuous distended superficial inferior and superior epigastric veins on the trunk The direction of flow in the latter was cephalad.
If the disease is left untreated, the deep venous system can be damaged and more varicose veins can occur.