THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN

Respected Mam, Lower limb varicose veins (VV) are one component of the most common broad spectrum of cronic venous sufficiency with an incidence of 10-30% worldwide. Previously considered only a cosmetic concern, it is a very well recognized disease now being treated by vascular surgeons in particu...

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Autores principales:	Anum Arif, Ahsin Mansoor Bhatti
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fc00468fba5844bfb040b50b448f314b
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spelling	oai:doaj.org-article:fc00468fba5844bfb040b50b448f314b2021-12-02T18:03:09ZTHE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN0030-96482411-8842https://doaj.org/article/fc00468fba5844bfb040b50b448f314b2020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5614https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Respected Mam, Lower limb varicose veins (VV) are one component of the most common broad spectrum of cronic venous sufficiency with an incidence of 10-30% worldwide. Previously considered only a cosmetic concern, it is a very well recognized disease now being treated by vascular surgeons in particular. Treatment of varicose veins in lower extremities has been changing from open surgical intervention to variable minimally invasive options from last two decades. Mini invasive techniques have spread enormously. The major reason is the possibility of out-patient treatment, shorter and lesser burden, minimum need for anesthesia, better cosmetic effect, shorter intervention as well as the recovery period. Miniinvasive techniques can be divided into thermal (endovascular laser – EVL, radiofrequency ablation – Closer Fast, mechano-chemical [ClariVein]), and chemical sclerotherapy under ultrasound guidance and most recent treatment with cyanoacrylate (VenaSeal, VariClose)3. Endovenous ablation is the latest procedures and standard of care are but in Pakistan, due to financial constraints and scarcity of skilled operators,it is only done at few places and not available to everyone. The procedure requires tumescent analgesia being an endothermal procedure leading to most of the discomfort, high maintenance machine, technical expertise, and repeat sessions that adds to the cost. Therefore he general public is left with the sole option of injection sclerotherapy which has its own demerits like an inadequate response, repeated sessions and thrombophlebitis3.Anum ArifAhsin Mansoor BhattiArmy Medical College RawalpindiarticleMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1599-1600 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Medicine (General) R5-920
spellingShingle	Medicine R Medicine (General) R5-920 Anum Arif Ahsin Mansoor Bhatti THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN
description	Respected Mam, Lower limb varicose veins (VV) are one component of the most common broad spectrum of cronic venous sufficiency with an incidence of 10-30% worldwide. Previously considered only a cosmetic concern, it is a very well recognized disease now being treated by vascular surgeons in particular. Treatment of varicose veins in lower extremities has been changing from open surgical intervention to variable minimally invasive options from last two decades. Mini invasive techniques have spread enormously. The major reason is the possibility of out-patient treatment, shorter and lesser burden, minimum need for anesthesia, better cosmetic effect, shorter intervention as well as the recovery period. Miniinvasive techniques can be divided into thermal (endovascular laser – EVL, radiofrequency ablation – Closer Fast, mechano-chemical [ClariVein]), and chemical sclerotherapy under ultrasound guidance and most recent treatment with cyanoacrylate (VenaSeal, VariClose)3. Endovenous ablation is the latest procedures and standard of care are but in Pakistan, due to financial constraints and scarcity of skilled operators,it is only done at few places and not available to everyone. The procedure requires tumescent analgesia being an endothermal procedure leading to most of the discomfort, high maintenance machine, technical expertise, and repeat sessions that adds to the cost. Therefore he general public is left with the sole option of injection sclerotherapy which has its own demerits like an inadequate response, repeated sessions and thrombophlebitis3.
format	article
author	Anum Arif Ahsin Mansoor Bhatti
author_facet	Anum Arif Ahsin Mansoor Bhatti
author_sort	Anum Arif
title	THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN
title_short	THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN
title_full	THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN
title_fullStr	THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN
title_full_unstemmed	THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN
title_sort	pioneers of vericose veins treatment with endovenous glue in pakistan
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/fc00468fba5844bfb040b50b448f314b
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THE PIONEERS OF VERICOSE VEINS TREATMENT WITH ENDOVENOUS GLUE IN PAKISTAN

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