PREVENTION AND NONMEDICAL TREATMENT OF CH RONIC VENOUS INSUFFICIENCY

The superficial and deep venous network of patients with chronic venou s insufficiency is constantly undergoing change requiring careful foll ow-up and adapted therapy. Prevention, whether physical or medical, is recommended at all stages of the disease. The veins must be protected from factors which worsen venous abnormalities and drugs improving ve nous return should be prescribed. It is essential to avoid further agg ravation of chronic venous insufficiency. The treatment has two object ives. First, and most important, to diminish or alleviate global or lo cal venous hyperpressure which can be attained by surgery or sclerothe rapy of venous leaking, via the crosses or perforating veins, into the superficial network. Venous hyperpressure can also be reduced by re-e stabilishing normal venous haemodynamics with conservative techniques included elastic support or surgical techniques including CHI VA. Fina lly, the second objective is to diminish or alleviate inaesthetic vari cose veins and telangiectases.