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Chapter-02 Pathophysiology of Varicose Veins

BOOK TITLE: Sclerotherapy in Dermatology

Author
1. B Nirmal
ISBN
9789352702060
DOI
10.5005/jp/books/18040_3
Edition
1/e
Publishing Year
2018
Pages
6
Author Affiliations
1. Christian Medical College, Vellore, Tamil Nadu, India, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India, Velammal Medical College and Research Institute, Madurai, Tamil nadu, India, Velammal Medical College, Hospital and Research Institute, Madurai, Tamil Nadu, India, Meenakshi Mission Hospital and Dermal Square Skin Clinic, Madurai, Tamil Nadu, India
Chapter keywords
Venous disease, lower limb, venous hypertension, greater saphenous vein, GSV, short saphenous vein, SSV, lateral subdermic venous system, LSVS, venous pathophysiology

Abstract

Venous diseases of the lower limbs are extremely complex due to wide variability of veins on the surface of the skin. It is important to understand the normal anatomy and physiology of veins of lower limbs with regard to management of pathology of leg veins. Venous hypertension leads to alterations in vein wall, valve incompetence and chronic venous insufficiency. The superficial compartment comprises of three tributaries namely, greater saphenous vein (GSV), short saphenous vein (SSV) and lateral subdermic venous system (LSVS) of Albanese. This chapter covers the physiology of venous system of lower limbs, and venous pathophysiology. Venous pressure is largely determined by gravity. When the body is horizontal, venous pressure in the lower extremity is equal to that of lower abdomen. As the body becomes upright, the pressure in the lower limbs increases dramatically.

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