Abstract
Varicose veins of lower limbs have always caused, because of their rate, highest social spendings. Those patients who have trophic disturbances often need surgical treatment even after surgical intervention. This condition becomes worse in Southern Europe countries because of environmental and climatic factors.
INTRODUCTION
Varicose veins of lower limbs have always caused, because of their rate,highest social spendings. Those patients
who have trophic disturbances often need surgical treatment even after surgical intervention. This condition becomes worse in Southern Europe countries because of
environmental and climatic factors.
It is therefore necessary to improve diagnostic methods in order to prevent trophic disturbances.
In order to reach this target, our Institute studies all patients affected by varicose disease not only by doppler
c.w. but also by microcirculatory methods, such as Videocapillaroscopy and Reflected Light Rheography on medial malleolus.
MATERIALS AND METHODS
Thirty patients (24 females and 4 males) suffering from varicose veins of lower limbs at 2nd or 3rd stage of Widmer
classification, were studied by Reflected Light Rheography and Videocapillaroscopy on medial malleolus of both legs.
In order to avoid any interference, capillaroscopy was ever made before RLR; in the same way, no drugs during the
period of study were administered. In the patients with only one affected leg, the other leg gave useful comparison parameters.
RESULTS
In the group of 30 patients the following parameters were evaluated: Venous network, refilling time (TO), venous drain capability (dr), capillaries density and morphology. About rheographic parameters we found TO equal to 12+-3 seconds and dr equal to 100+-50 mV (mean values). In the group of patients at 2nd Widmer stage, TO was equal to 16+-3 seconds and dr was equal to the patients at 3d Widmer stage TO respectively, equal to 8+-2 seconds About capillaroscopic parameters, capillaries density in all subjects; formation” pictures, espectively, (13,3%) patients.
CONCLUSIONS
The study of microcirculation by Capillaroscopy and Rheography, in the patients suffering from varicose veins of lower limbs, was with no doubt useful to demonstrate that any stage of venous disorders causes different microcirculatory alterations. In fact, we found “”halo formation· pictures in patients with more pathological rheographic parameters (TO less than 10 seconds) and nearly all these patients suffered from varicose disease at 3rd stage of Widmer classification. Furthermore, microcirculatory alterations were more evident in patients with trophic disturbances and elder venous disease.
Reference: https://link.springer.com/chapter/10.1007/978-1-4471-3095-6_50
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