[Management of varicose disease].

Abstract

MANAGEMENT OF VARICOSE DISEASE. Chronic venous disease (CVD) is a chronic condition for which there is no cure. The therapeutic approach to CVD varies depending on the severity of the disease and must be individually adapted. There are two main treatment options: conservative treatment and interventional treatment. Conservative treatment consists in applying the classic venous hygiene guidelines to prevent the progression of the disease by encouraging the patient to modify his lifestyle. It includes general measures such as recommending exercise, weight management and the use of compression products. Pharmacological treatment, although controversial, may be prescribed to relieve symptoms associated with CVD. However, its effectiveness may vary from one individual to another. Interventional treatment has changed a lot. During the 20th century, open surgery was the dominant method for treating varicose disease. Nevertheless, the indications for this intervention have recently evolved thanks to the development of endovenous intervention techniques, whether they are thermal or not. These advances now make it possible to treat varicose veins on an outpatient basis. The management of CVD is not based on a single treatment, but rather on a combination aiming at relieving symptoms, preventing complications and slowing its progression.