Smoking cessation is recommended. The elevation of members, facilitating venous return and decompression of varices. The management of varices vein was the subject of publication of recommendations of American Society for Vascular Surgery (varicose veins Austin). Uncomplicated and not symptomatic varices requires no medical or surgical treatment except for aesthetic purposes.

It is a multifactorial disease in which heredity, physical inactivity, overweight, exposure to heat and pregnancy are the main risk factors. Dilation of affected vein disrupts the unidirectional flow of blood to heart, the valves no longer ensure their anti-reflux function. It is a breach of wall of vein. Heredity is one of causes of varices. The more he has a family member with varices, the risk is great to have one day. The risk of developing varices for a person whose both parents are affected would be 90%.

When only one parent is affected, the risk drops to 62% for the female child and 25% for the male child. If no parent is reached, the risk of developing varices are 20%, regardless of sex of child. Various aggravating factors exist: pregnancy (hormonal factor) especially if they are repeated, prolonged standing or sitting, obesity, constipation, wearing clothes that tighten (garters, girdles, below), heat and certain exercises such as weight training and weightlifting they exert a negative pressure on the venous system, increasing leg pain and risk of varices in susceptible individuals. Large size men also have more propensity to have varices.

Occlusion of deep venous system (phlebitis) also causes a dilation of superficial venous network to support the venous return. It is important to differentiate between the vein (small intradermal dilatations of less than 3 mm) of varices itself. Essentially, varices affect the lower limbs. They may be either primary or secondary to postphlebitic disease.

Compression is effective in changing varicose ulcers and significantly reduces the risk of recurrence if compression is extended several years. In absence of ulcer, their use remains controversial outside symptoms, partly no doubt because of a secondary adherence to implementation difficulties in some people.Many surgical techniques have been practiced for over a century, since the heavier as "stripping" under general anesthesia or spinal anesthesia anesthesia swelling inpatient, to lighter as "superficial phlebectomies" and the cure CHIVA performed as an outpatient.

The CHIVA stands cure "Conservative and Hemodynamics of Venous Insufficiency in Ambulatory" 14.15. The operation consists in one to four small incisions on average, under local anesthesia, to remove ligatures by specific abnormal blood flow due to valvular incontinence and responsible for the varices dilatation of veins. The patient goes home the same day. This method tends to correct venous function in order to cure the symptoms of venous insufficiency such as varices vein, edema.

There are different surgical techniques for operating varices vein. But most practiced is the stripping, also called stripping. When the main valves saphenous show no abnormalities, simple extraction of varices branches is possible. By cons when varices vein are important and there he insufficient valves saphenous trunks, stripping is necessary.

Uncomplicated and not symptomatic varices vein has little risk of complicated. Various complications are the occurrence of deep vein thrombosis (or phlebitis), rupture with hemorrhage, ulcer formation. It includes preventive measures first and foremost a healthy lifestyle including physical activity particularly suited to endurance-type (walking, cycling, swimming, cross country), weight control and avoidance of exposure heat, the fight against constipation. Regular wearing elastic compression type "stockings" is very useful in exposed populations.