Conclusion
For effective treatment of varicose veins, the etiology of lower limb varices should be correctly identified. For accurate diagnosis, a thorough physical examination and angiography should be performed. As the recent trends favor non-invasive diagnostic methods, I recommend doppler, ultrasound, or photopletysmography. Selecting the best treatment based on data obtained through various tests will ensure good outcome and prevent recurrence.
Selecting the right treatment is important as it allows the patient to return to daily activities early and minimizes pain or side effects. Various new treatment methods have been introduced. Patients can now get treated in the outpatient visit without hospitalization or invasive surgery. Aesthetic outcome is very important particularly in female patients and the non-invasive method with minimal scarring offers an excellent treatment choice.
Sclerotherapy must be followed by continuous compression and the patient should be regularly and closely followed up.
I wrap up this series on varicose veins. I would like to express deep gratitude to the readers and my fellow specialists and plan to start a new series of discussions on another topic. Lastly, I have provided below a list of useful books and publications on varicose veins.
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Textbook on Varicose Veins
M.P.Goldman/ Robert A.Weiss/ John J.Bergan Varicose veins and telangiectasias diagnosis and treatment
M.P.Goldman / John J.Bergan ambulatory treatment of venous disease
M.P.Goldman Sclerotherapy treatment of Varicose veins and telangiectatic leg veins
David J.Tibbs Varicose Veins and related disorder
Stefano Ricci / Mihael Georgiev / M.P.Goldman ambulatory phlebectomy
Michel Schadeck duplex phlebology
George Fegan Varicose veins – compression sclerotherapy
Peter Gloviczki/John J.Bergan atlas of endoscopic perforator vein surgery
W.Hach/V.Hach/Wunderle phlebography and sonography of the veins
Jane Griffin Deep Vein Thrombosis and Pulmonary Embolism
Michael V.Sivak,Jr.Endocopic sclerotherapy of esophageal varices
Howard C. Baron /Barbara.A.Ross Varicose veins – a guide to prevention and treatment
C.V.Ruckley color atlas of surgery for varicose veins
H.Partsch, E.Rabe, R.Stemmer compression therapy of the extremities
Ali F.AbuRahma., John J.Bergan noninvasive vascular diagnosis
C.Gardon-Mollard, A.A.Ramelet compression therapy
J.L.Parvulesco microvarices La nouvelle therapie esthetique
Jeffrey L. Ballard, John J.Bergan chronic venous insufficiency
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-To be continued-
