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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Incompetent Sapheno Femoral Junction With Varicose Veins

I am a 41 year old female with 2 children. Wt. 70KG. Ht. 5.2'. I have varicose veins in both my legs. Recently, I had consulted a Vascular surgeon who had advised me to have colour doppler test. I have reproduced the test report below. Please advise whether it requires any surgery and how soon.

* Sapheno femoral junctions are incompetent bilatrally, more on right side with varicose veins along long saphenous system

* Blow outs are noted from long saphenous vein in the medical aspect of upper and mid thigh on right side.

* Impression - Bilateral sapheno femoral junction incompetence and incompetent perforators with varicose veins

No evidence of deep vein thrombosis
Thu, 13 Apr 2017
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General Surgeon 's  Response
Respected madam , hi I evaluated your query thoroughly.
So far as treatment point of view is concerned for varicose veins , depends largely on the symptomatology and concern of the patient, correlated with the clinical evaluation and Doppler findings.
I am discussing both ways of management :
1. Conservative management (Non-operative) :
-- suggested when it`s not much symptomatic, much troublesome .
-- advise patient to keep both lower limbs elevated above 3-4 pillows when
resting.
-- keep mobilisation with compression stockings.
-- avoid smoking / alcohol beverages.
-- medicines as and when required for pain only.
-- control of BP , Blood Sugar, Cholestrol level under control.
2.Surgical management
-- when symptoms are more troublesome, more concerning , non-operative
measures not working / patient demands / surgeon decides that it`s
mandatory.
-- various procedures ranging from laser / coagulation therapy / vivid
operative procedures depending on the Vascular Surgeon`s /
Interventional Radiologist`s concern.
Hope this clears your queries.
Thanks for using Health care Magic.
Regards
Wishing you a fast and speedy recovery from this to take care of 2 cute ones.
Bye Dear take care.
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Suggest Treatment For Incompetent Sapheno Femoral Junction With Varicose Veins

Respected madam , hi I evaluated your query thoroughly. So far as treatment point of view is concerned for varicose veins , depends largely on the symptomatology and concern of the patient, correlated with the clinical evaluation and Doppler findings. I am discussing both ways of management : 1. Conservative management (Non-operative) : -- suggested when it`s not much symptomatic, much troublesome . -- advise patient to keep both lower limbs elevated above 3-4 pillows when resting. -- keep mobilisation with compression stockings. -- avoid smoking / alcohol beverages. -- medicines as and when required for pain only. -- control of BP , Blood Sugar, Cholestrol level under control. 2.Surgical management -- when symptoms are more troublesome, more concerning , non-operative measures not working / patient demands / surgeon decides that it`s mandatory. -- various procedures ranging from laser / coagulation therapy / vivid operative procedures depending on the Vascular Surgeon`s / Interventional Radiologist`s concern. Hope this clears your queries. Thanks for using Health care Magic. Regards Wishing you a fast and speedy recovery from this to take care of 2 cute ones. Bye Dear take care.