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Venas varicosas - Treatment

Nombres alternativos

Varicosidad; Varicosis

Tratamiento:

El tratamiento por lo general es conservador. A usted se le solicitará que evite estar de pie en exceso, elevar las piernas cuando está descansando o durmiendo y usar medias de descanso elásticas.

Usted puede necesitar cirugía o tratamiento no quirúrgico para:

  • Dolor de pierna, a menudo descrito como pesadez o cansancio
  • Úlceras o llagas en la piel causadas por flujo sanguíneo deficiente a través de las venas
  • Mejorar la apariencia de las piernas
  • Lipodermatoesclerosis (tejido graso bajo esa piel que se endurece con el tiempo, causado por hipertensión arterial en una vena)

La fleboextracción es una cirugía para extirpar venas varicosas en las piernas y, por lo general, se reserva para pacientes que están presentando mucho dolor o que tienen úlceras cutáneas.

Los tratamientos no invasivos para venas varicosas no implican cirugía. Los ejemplos son:

Pronóstico:

Las venas varicosas tienden a empeorar con el paso del tiempo, pero con los cuidados personales se puede aliviar la molestia y disminuir su progresión.

Posibles complicaciones:

  • Flebitis (inflamación crónica de la vena)
  • Formación de úlceras en la pierna
  • Ruptura de una vena varicosa

Cuándo contactar a un profesional médico:

Solicite una cita médica si:

  • Las venas varicosas son dolorosas
  • Empeoran o no mejoran con los cuidados personales, como mantener las piernas elevadas o evitar estar de pie por mucho tiempo
  • Se presentan complicaciones, como un aumento súbito de dolor o hinchazón, fiebre, enrojecimiento de la pierna o aparición de úlceras en las piernas
  • Reviewed last on: 5/15/2010
  • Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine, Pediatrics and Psychiatry, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Freischlag JA, Heller JA. Venous disease. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 68.

Nijsten T, van den Bos RR, Goldman MP, et al. Minimally invasive techniques in the treatment of saphenous varicose veins. J Am Acad Dermatol. 2009;60:110-119.

Bergen JJ, Shmidt-Shonbein GW, Smith PD, et al. Chronic venous disease. N Engl J Med. 2006;355:488-498.

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