Symptomatology of Vein Disease

Isaacs, Mark N.

doi:10.1111/j.1524-4725.1995.tb00181.x

Cited by 12 publications

(3 citation statements)

References 9 publications

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“…For example, the extent of the visible veins does not correlate with the severity or number of symptoms experienced (Goldman et al. , 1994; Isaacs, 1995). In addition, a complex interaction has been suggested between cosmetic dislike and perception of symptoms (Robbins et al.…”

Section: Introductionmentioning

confidence: 99%

Varicose veins: a qualitative study to explore expectations and reasons for seeking treatment

Palfreyman¹,

Drewery-Carter²,

Rigby³

et al. 2004

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 99%

Varicose veins: a qualitative study to explore expectations and reasons for seeking treatment

Palfreyman¹,

Drewery-Carter²,

Rigby³

et al. 2004

Journal of Clinical Nursing

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“…The correlation between symptoms and presence of varicose veins has always been the subject of debate, with some authors finding that some symptoms attributed to varicose veins are found in patients with no evidence of venous disease (Bradbury et al. 1999; Isaacs 1995). Because of the difficulties in assessing certain symptoms, patients with mainly a cosmetic complaint might deny this symptom in order to obtain surgery.…”

Section: Discussionmentioning

confidence: 99%

Rationing of surgery for varicose veins based on the presence or absence of cosmetic symptoms

Tiwari

Douek

Ackroyd

2002

Evaluation Clinical Practice

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“…Recurrent varicose veins: Family history of varicose veins and a general history including pregnancies [19], and hormone therapy [19], deep vein thrombosis, obesity and a change of occupation should be recorded, related to varicose veins [20]. Aching legs, pain, heaviness fatigue, itching, burning, leg swelling (disappearing after leg rest), cramps, restless and throbbing legs [21] should be sought.…”

Section: Medical Historymentioning

confidence: 99%

Recurrent Varices after Surgery (REVAS), a Consensus Document

Perrin¹,

Jj²,

Ruckley³

et al. 2000

Cardiovascular Surgery

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Report of the meeting† held in Paris on 17th & 18th July 1998 with participation oft: Ugo Baccaglini, Italy; Pierre Barthelemy. France; Jean-Claude Couffinhal. France: Denis Creton. France: Simon Darke, United Kingdom; Ralph De Palma, United States of America; Bo Eklof, United States of America; Ermenegildo Enrici, Argentina; Gilbert Franco, France; Jean Pierre Gobin, France; Louis Grondin, Canada; Jean-Jerome Guex. France; Georges Jantet. France; Claude Juhan. France; Jordi Maeso y Lebrun. Spain; Philippe Nicolini. France; Andreas Oesch, Switzerland; Marcelo Paramo-Diaz. Mexico; Michel Perrin. France; Paul Puppinck, France; Eberhard Rabe, Germany: Rene Rettori, France; John Royle, Australia; Vaughan Ruckley, United Kingdom; Michel Schadeck, France; Jean Claude Schovaerdts, Belgium; John Scurr, United Kingdom; Georgio Spreafico, Italy; Jan Struckman, Denmark; Frederic Vin, France Recurrent varicose veins after surgery (REVAS) are a common, complex and costly problem. The frequency of REVAS is stated to be between 20 and 80% depending on the definition of the condition. A consensus meeting on the topic (Paris 1998, July) decided to adopt a clinical definition: the presence of varicose veins in a lower limb previously operated on for varices. The pathology of recurrent varicose veins has been poorly correlated with clinical examination and operative findings. Clinical diagnosis remains essential but does not allow a precise assessment of REVAS. Consequently, the use of imaging investigations is essential. Duplex scan is considered as the method of choice. Both clinical diagnosis and imaging investigations allow the development of a classification for every day usage and future studies. This new classification of CEAP needs to be expanded to define the sites, nature and sources of recurrence, the magnitude of the reflux and other (possible) contributory factors. Methods for REVAS treatment include compression, drugs, sclerotherapy and redo surgery. There was no general consensus in favour of sclerotherapy, surgery or both to treat REVAS. Very few data were available to assess the results of treatment. Factors responsible for recurrence and recommendations for primary prevention were debated and are presented in this article. Guidelines for well-planned prospective studies have been produced.

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Symptomatology of Vein Disease

Abstract: In evaluating the patient with leg symptoms the presence of specific symptoms increases the likelihood that vein disease is responsible independent of the size of the veins.

Cited by 12 publications

References 9 publications

Varicose veins: a qualitative study to explore expectations and reasons for seeking treatment

Varicose veins: a qualitative study to explore expectations and reasons for seeking treatment

Rationing of surgery for varicose veins based on the presence or absence of cosmetic symptoms

Recurrent Varices after Surgery (REVAS), a Consensus Document

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