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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

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Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Updated: Oct 5, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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[Modern concept about trophic venous ulcers].

A Yu Grigoryan1, A G Terekhov1

  • 1Kursk State Medical University, Kursk, Russia.

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|January 26, 2022
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Summary

Venous trophic ulcers, a complication of chronic venous disease, significantly impact quality of life. This review systematizes knowledge on their pathophysiology, diagnosis, and modern treatment strategies for better management.

Keywords:
compression therapydiagnosis of trophic ulcerslaser irradiationlocal treatment of trophic ulcerstrophic ulcersvacuum therapywound coverings

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Area of Science:

  • Vascular Medicine
  • Dermatology
  • Wound Healing

Background:

  • Venous trophic ulcers are a common, debilitating complication of chronic venous diseases.
  • They lead to reduced quality of life and significant socio-economic burdens.
  • Visible skin changes, classified as CEAP class C4, are diagnostic criteria.

Purpose of the Study:

  • To systematically review current knowledge on venous trophic ulcers.
  • To discuss pathophysiology, symptoms, and diagnostic methods.
  • To consolidate information on modern wound coverings and treatment approaches.

Main Methods:

  • Literature review and synthesis of existing data.
  • Analysis of pathophysiology and etiological factors.
  • Evaluation of diagnostic criteria (CEAP class C4).

Main Results:

  • Three primary theories explain venous trophic ulcer development.
  • Local wound management is preferred when etiological factors are uncorrectable.
  • Effectiveness data for various wound coverings are often limited.

Conclusions:

  • Systematizing knowledge is crucial for effective venous trophic ulcer management.
  • Further research is needed to clarify the effectiveness of different wound coverings.
  • A comprehensive understanding aids in improving patient outcomes and reducing socio-economic impact.