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Phlebology 2009;24:3-12
doi:10.1258/phleb.2009.09s002
© 2009 Royal Society of Medicine Press

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Original Articles

Interventions for uncomplicated varicose veins

P Bachoo 

Consultant Vascular Surgeon, Aberdeen Royal Infirmary, Foresterhill, Aberdeen

Correspondence: P Bachoo, Consultant Vascular Surgeon, Aberdeen Royal Infirmary, Ward 36, Foresterhill, Aberdeen AB25 2ZN. Email: Paulbachoo{at}nhs.net

Abstract

Objective: To review the evidence regarding interventions (compression, sclerotherapy, surgery and endoluminal) for uncomplicated venous disease.

Method: A literature search of MEDLINE and EMBASE was performed. In addition, bibliographies of published data and the Cochrane Peripheral Vascular Review Group Specialist Register were examined. Publications describing an intervention for uncomplicated venous disease or trials comparing one intervention against another were considered.

Results: Uncomplicated but symptomatic varicose veins are associated with a significant reduction in quality of life (QoL). Evaluation must include a detailed history and examination supported by non-invasive imaging. Although HHD is useful, its utility is limited in the popliteal fossa. It can not provide morphological/anatomical detail when considering an endoluminal treatment option. Regardless of intervention, all treatments considered are associated with a significant improvement in QoL at acceptable cost.

Conclusion: Uncomplicated symptomatic varicose veins lead to a reduced QoL, which can be significantly improved by all interventions considered.

Key Words: uncomplicated venous disease


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