Varicose Veins affect nearly 25% of the world population.
Under-Diagnosed and Under-Treated, they cause untold morbidity.
Recent advances in management make varicose vein management safe,simple and short-stay procedure.
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3 steps to simplified varicose veins management
1. 3 Steps to
Simplified Varicose Veins
Management
(Minus the Pun & the Fun)
Dr.Irineu A.Pereira
www.irineupereira.com
2.
3.
4.
5. Blood Flow in the
Legs has always got
to be from the foot
towards the
abdomen.
A Reverse flow is
always abnormal and
occurs in venous
reflux disease.
Need to stop a
“Leaking Tap” for
the correct treatment
!
6. Or You’ll need to do this to help
the blood to return back to the
heart !
You cannot be doing this for long,
I am sure !
7. Varicose Veins is not a Cosmetic Problem
It is a disease with Piles and Varicocoele(in
males) and Vulval Varicies(in females) as other
manifestations of the disease
( so sorry, I am not adding their photos here for company ! )
www.irineupereira.com
8. Varicose Veins : Typical Approach
(Pun and Fun intended ! )
1. Oh ! They just look Ugly : Ignore until they
trouble you more !
2. Trouble a.k.a. Pain & Swelling : Wear Leg
compression stockings (ask the relative in the
gulf to send one) ! Whether it fits properly or
not, doesn't matter as long as it is “imported”
www.irineupereira.com
9. Varicose Veins : Typical Approach
(Pun and Fun intended)
3. More Trouble. Non-Healing Leg Ulcer.
Dressings daily from Mercurocrome, to
Haldi to Aloe Vera…!
4. More trouble…Vein Clot or Bleeding .
Time to go to the doctor !
www.irineupereira.com
10. Veins just look
Ugly. A
cosmetic view !
Just Cosmetic
Treatment with
Skin Laser/ IPL /
Sclerotherapy of
Spiders results in
need of repeated
treatments while
the problem
continues to
progress
Bleeding/Clottin
g of varicose
veins, Ulcers ,
etc begin to
complicate the
course.
Seek proper
evaluation and
treatment
Varicose Veins : Atypical Approach
www.irineupereira.com
11. 6 Common Presentations of
Varicose Veins
• Heaviness of the legs by day and Cramps at
Night
• Swelling of the Legs
• Pigmentation
• Eczema
• Ulcers and non-healing wounds
• Bleeding / Clotted Varicose veins
www.irineupereira.com
12. 1. Heaviness in the legs
in the Evenings ?
2. Swollon Legs in the
evening ; disappearing
in the morning only to
reappear in the
Evening ?
3. Cramps at Night ?
Right Time to see the
Doctor !
www.irineupereira.com
13. 1.Pigmentation of the
legs?
2.Leg Ulcer ?
3.Bleeding Varicose
Veins ?
You are Late but
you have to go to
the Doctor .
You MUST see him
ANYWAY !
www.irineupereira.com
15. Varicose Veins :
Symptoms with
or without the
Signs
Colour
Doppler
Venous
Ultrasound &
Vascular
Surgical
Consultation
Intervention
necessary if
Positive
Symptoms +/-
Signs of
Varicose Veins,
and
Colour Doppler
showing
Valvular or
Perforator
Incomptence
Varicose Veins : Recommended Approach
www.irineupereira.com
16. 4 Reasons to Evaluate Varicose Veins
www.irineupereira.com
17. 4 Reasons to Evaluate Varicose Veins
• Cosmetic : They don’t look good !
• Bleeding and Clot Formation issues.
• Non-Healing Leg Wounds
• May be an indicator of some other disease
elsewhere in the body. Even Cancer.
www.irineupereira.com
18. Colour Doppler : The Only Test
• Colour Doppler Venous Study done in standing
and lying down positions is the only test needed
in addition to a clinical examination
– Assess the severity of the valvular and
perforator incompetence and
– Rule out Deep Vein Thrombosis.
www.irineupereira.com
19. Treatments
• Life Style Advice
• Compression Stockings
• Foam Sclerotherapy
• Endovenous Therapy
• Surgery : Conventional or through MIVAS
Approach
www.irineupereira.com
23. • Our minimally invasive varicose vein
procedures are also minimally invasive to
your daily life.
• Endovenous Radial Laser 1470nm
Ablation, MIVAS and Foan Sclerotherapy –
either singly or as an hybrid procedure.
www.irineupereira.com
25. With us at Good Shepherd Healthcare, the
surgical incisions are smaller or are replaced
by needle-punctures (percutanous
treatments), so that your discomfort and pain –
if at all, is minimal.
www.irineupereira.com
26. As a matter of fact, fewer tests, smaller or ‘no’
incisions, and fewer medications ; ensure that
you spend less time and money in an associate
hospital. Day-Care or Short-Stay Surgery is
our forte with our emphasis on endovascular
and endoscopic procedures for chest, artery
and vein diseases.
www.irineupereira.com
27. Good Shepherd Healthcare Clinics
409, Ambrosia Corporate Park,
Opp.Passport Office / Ginger,
Behind Panaji Bus Stand,
Patto-Plaza,Panaji,
Goa.INDIA
91-9823952129
dr.irineu.pereira@gmail.com
www.irineupereira.com