Clinical Case Database / Category: Patient Management
Varicose veins and pelvic venous incompetence
Publication details
AM Whiteley, MS Whiteley
Foundation Years Journal, volume 7, issue 5, p.34 (123Doc Education, London, May 2013)
Abstract
Varicose veins have long been thought to only occur from venous reflux in either the great saphenous vein or the small saphenous veins. Over the last few years, it has become increasingly understood that pelvic venous incompetence is a major contributing factor to leg varicose veins in 20% of women who have had children by normal vaginal delivery. Research, shortly to be published, has shown that the failure to treat the pelvic venous reflux in these patients appears to be a major cause of recurrent varicose veins.
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Authors
AM Whiteley
Research Fellow
The Whiteley Clinic, 1 Stirling House, Stirling Road, Surrey Research Park, Guildford GU2 7RF
MS Whiteley
Consultant Vascular Surgeon
The Whiteley Clinic, 1 Stirling House, Stirling Road, Surrey Research Park, Guildford GU2 7RF
References
1. Munasinghe A, Smith C, Kianifard B, Price BA, Holdstock JM, Whiteley MS Strip-track revascularization after stripping of the great saphenous vein British Journal of Surgery 2007 Vol 94; 7: 840-3.
2. Marsh P, Price BA, Whiteley MS. Prevalence and management of ovarian venous insufficiency in the presence of leg venous insufficiency. Phlebology. 2007;22(4):192.
3. Ratnam LA, Marsh P, Holdstock JM, Harrison CS, Hussain FF, Whiteley MS, Lopez A. Pelvic vein embolisation in the management of varicose veins. Cardiovasc Intervent Radiol. 2008 Nov-Dec;31(6):1159-64. Epub 2008 Aug 28
4. Marsh P, Holdstock J, Harrison C, Smith C, Price BA, Whiteley MS. Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service District General Hospital. Phlebology. 2009 Jun;24(3):108-13.
5. MS Whiteley. The treatment of varicose veins of the vulva and vagina. In: Greenhalgh RM (Ed.) Vascular and Endovascular Controversies Update. London Biba Publishing, 2012 p. 666-670.
6. Whiteley AM, Taylor DC, Whiteley MS. Pelvic venous reflux is a major contributory cause of recurrent varicose veins in more than a quarter of women …or… ‘Pelvic venous reflux - The Elephant In The Room’. 4th National Medical Student Research Conference, Leicester - October 2012 (Presentation)
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Conflict Of Interest
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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