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CHIVA method is a type of surgery used to treat varicose veins that occur as a result of long term venous insufficiency. [1] The term is a French acronym for Conservatrice Hémodynamique de l'Insuffisance Veineuse en Ambulatoire (ambulatory conservative hemodynamic treatment venous insufficiency).
The procedure involves the removal of the varicose veins through multiple small 2–3 mm incisions in the skin overlying the varicose veins. First the veins are marked with the patient in standing position. Then the patient is positioned on the operating table and local anesthesia is applied. Incisions are made using a surgical blade.
general medicine, surgery: varicose veins: superficial vein is percussed proximally; if impulse is felt over vein distally, valvular incompetence is present Budin's sign: Pierre-Constant Budin: surgery, obstetrics: suppurative mastitis: if breast milk flown into a sterile pad is mixed with pus (brown, yellow or bloody traces), mastitis may be ...
Chronic venous insufficiency (CVI) is a medical condition characterized by blood pooling in the veins, leading to increased pressure and strain on the vein walls. [1] The most common cause of CVI is superficial venous reflux, which often results in the formation of varicose veins, a treatable condition. [2]
The skin surrounding a venous ulcer may be edematous (swollen) and there may be evidence of varicose veins; the skin surrounding an arterial ulcer may be pale, cold, shiny and hairless. Both venous and arterial ulcers may be painful, however arterial ulcers tend to be more painful, especially with elevation of the leg, for example when in bed.
For example, after a GSV stripping, laser ablation or after its ligation at the sapheno-femoral junction, the Giacomini vein will drain into the SSV, with a retrograde flow. When there is a GSV thrombosis or other cause of insufficiency, the Giacomini vein can divert the blood flow to the SSV and from there to the popliteal vein.
Among other things, Babcock developed a surgical procedure for the surgical removal of the saphenous veins of the legs in cases of varicose veins. [2] This operation was carried out using a probe that is inserted into the vein at the ankle, passed through to the groin and then pulled out of the leg again, with the glans-shaped probe taking the vein along with it.
Schwartz's test is a clinical test used for confirming the diagnosis of long standing varicose veins. [1] The clinician exposes the lower limb. A tap is made on the lower part of the leg on the long saphenous varicose vein with one hand. If an impulse can be felt at the saphenous opening with the other hand, Schwartz's test is positive. [2]