open access

Vol 14, No 4 (2008)
Miscellanea
Published online: 2008-12-19
Get Citation

Historic milestones in the management of lower limb varicose veins

Marek Durakiewicz
Acta Angiologica 2008;14(4):159-172.

open access

Vol 14, No 4 (2008)
Miscellanea
Published online: 2008-12-19

Abstract

Lower limb varices have been known and described for more than 3500 years. Through the ages, numerous modalities have been used in the management of this condition. Many of these methods evolved and, after some modifications, remain in use. Surgical techniques of major importance in the management of varices of the greater saphenous vein include crosscutting of the venous ostium (crossectomy) and partial or complete removal of the venous trunk (stripping). Conservative management consists of drug therapy and compression therapy. Another major achievement was the development of sclerotherapy using injections of chemical substances, which was introduced after the invention of the syringe. Surgical procedures involving the greater saphenous vein are still associated with a high recurrence rate. Currently available methods of vein obliteration, such as radiofrequency ablation, laser therapy, and foam sclerotherapy, are expected to improve long-term outcomes, reduce local tissue trauma, and result in an improved cosmetic effect. Discussions regarding the optimal approach to the management of lower limb varicose veins should also include knowledge about the historical aspects of the treatment of this condition, especially with the centennial anniversary of the introduction of the Babcock procedure that remains in common use.

Abstract

Lower limb varices have been known and described for more than 3500 years. Through the ages, numerous modalities have been used in the management of this condition. Many of these methods evolved and, after some modifications, remain in use. Surgical techniques of major importance in the management of varices of the greater saphenous vein include crosscutting of the venous ostium (crossectomy) and partial or complete removal of the venous trunk (stripping). Conservative management consists of drug therapy and compression therapy. Another major achievement was the development of sclerotherapy using injections of chemical substances, which was introduced after the invention of the syringe. Surgical procedures involving the greater saphenous vein are still associated with a high recurrence rate. Currently available methods of vein obliteration, such as radiofrequency ablation, laser therapy, and foam sclerotherapy, are expected to improve long-term outcomes, reduce local tissue trauma, and result in an improved cosmetic effect. Discussions regarding the optimal approach to the management of lower limb varicose veins should also include knowledge about the historical aspects of the treatment of this condition, especially with the centennial anniversary of the introduction of the Babcock procedure that remains in common use.
Citation Formats

Keywords

history of vascular surgery; compression therapy; crossectomy; stripping; sclerotherapy

About this article
Title

Historic milestones in the management of lower limb varicose veins

Journal

Acta Angiologica

Issue

Vol 14, No 4 (2008)

Pages

159-172

Published online

2008-12-19

Bibliographic record

Acta Angiologica 2008;14(4):159-172.

Keywords

history of vascular surgery
compression therapy
crossectomy
stripping
sclerotherapy

Authors

Marek Durakiewicz

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl