Chronic venous disease of the lower limbs – diagnosis and conservative treatment

Česká verzia

Authors: D. Musil
Authors place of work: I. interní klinika – kardiologická LF UP a FN Olomouc
Published in the journal: Kardiol Rev Int Med 2014, 16(4): 312-316
Category: Internal Medicine

Summary

Chronic venous disease of the lower limbs comprises any morphological and functional abnormalities of the venous system manifested by symptoms and/or signs indicating the need for examination and/or care. Rational treatment includes compression stockings and varicose vein surgery with removal of ultrasonography-proven insufficient venous segments. Venoactive drugs relieve local symptoms and venous leg swelling, but they should always be used alongside compression. Compression stockings grade III and short-term application of topical agents are the most effective method in healing venous ulcers where varicose vein surgery is not possible. Treatment of chronic venous ulcers can be accompanied with pentoxifylline or MPFF.

Keywords:
chronic venous disease – diagnosis – duplex scanning – compression stockings – venoactive drugs

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