A educational publication suitable for consultants with an interest in venous disease, trainees in vascular surgery, vascular nurses and technologists. Chapters include: Venous disease: An overview of the history and importance of venous disease on modern practice; Epidemiology of venous disease: Causes and prevalence of venous disease and the effect on the health of the population; Signs and symptoms of venous disease: What are the important features in patients which will influence management?; Investigation of venous disease: How to interpret investigations and which patients should be referred to specialist centres; Quality of life and outcome assessment: What is the relative priority of varicose vein surgery compared to other procedures? Should asymptomatic varicose veins be offered surgery on the NHS?; Techniques of primary surgery for varicose veins: How to perform safe surgery together with likely complications and causes of complaint and litigation; Recurrent varicose vein surgery: Are there alternatives to re-exploration of the groin and poplteal fossa?;
New methods of vein ablation: Discussion of modern technology and sclerotherapy techniques; Perforator surgery - the evidence: What is the justification for SEPS?; Management of telangiectasia: Fine needle sclerotherapy, laser and other techniques; Management of deep vein thrombosis: Risk factors, prophylaxis, investigation, caval filter for pulmonary embolus; Indications for venous reconstruction: Indications and success rates; The role of nurse led clinics: How can nurses and medical staff work together effectively?; Organisation of leg ulcer services: Diagnosis, role of surgery and skin grafting; Deep vein thrombosis and travel: The latest developments in "Ecomomy Class Syndrome".
A H Davies is Reader and Consultant Surgeon at Charing Cross Hospital & Imperial College, London. I F Lane is Consultant Vascular Surgeon, University Hospital of Wales, Cardiff