Introduction
Varices
Aethiology
Types
Complications   
Modalities
Pregnancy

Management

Türkçe website
Dr Cafer Abbasoğlu

 

VARICES

 


 
 

What are Varicose Veins?

  The term varicose comes from the Latin root varix, meaning "twisted. Varicose veins are typically swollen, twisted, blue in color and close to the surface of the skin.

First of all for understanding the meaning of varicose vein diseases we must understand the physiology of blood circulation in venous tree .The circulatory system is comprised of the heart, arteries, veins, and lymph vessels. Oxygen and Nutrients necessary for the normal function of the body are transported via the arteries. Veins return oxygen-depleted blood back to the lungs where carbon dioxide is exchanged for oxygen. The capacity of the venous system is greater than that of the arterial system. And about 64% of the total circulating blood volume is within the venous system. Vein disease occurs when veins have trouble transporting blood.


The veins are subdivided into three subtypes: deep veins, superficial veins, and connecting veins


The deep veins lies within skeletal muscles and other tissues and provides drainage from most of the muscle mass to the limbs.

The superficial veins of lower extremities includes the great saphenous vein and the small saphenous vein. The great saphenous vein is the longest vein in the body. It travels along the inside of the foot, leg and thigh . The small saphenous vein is shorter and travels along the lateral side of the foot,


the connecting or perforating vein system connects the superficial and deep systems.

Muscles play an important role in normal vein function . The massaging action of the muscle empties the deep veins and promotes blood flow from the superficial to the deep vein system The muscles of the leg serve to lower vein pressure in dependent parts of the leg, relieve vein congestion in the same area and facilitate venous return..

Veins contain valves that keep the blood flowing in the right direction. The valves help fight the effects of gravity. The valves open, letting blood flow towards the heart, and then close to prevent the blood from flowing backwards towards the feet.If vein walls become weak or damaged, the valves may not close properly. The combination of weakened valves and the pull of gravity when you're standing can cause blood in your veins to flow back down into the legs -causing many of the early symptoms of vein disease: Bulging veins , Swollen ankles and Heaviness or pain in the legs.

 

Cafer Abbasoğlu
jan 2003