Treatment of varicose veins in the puerperal gravid state
Keywords:
varicose veins, pregnancy, treatmentAbstract
Varicose veins resulting from pregnancies can and should be controlled medica!ly, Only very special cases should be subject to surgery in view of existent risks and greater uncertainty with respect to results.
Surgery can be performed after pregnancy. Many authors sustain that surgery should be performed immediately after childbirth. Social and psycological reasons keep patients away at this stage, and they either reject the idea of surgery or defer it. This is fully justified in view of the. fact that there is great improvement after delivery and that the child demands all the mother's attention.
Under these circumstances, the fact that varicose veins and their symptoms can be controlled medically during pregnancy, conspires against surgery,
On the other hand the evolution of the disease involves no risk either for the mother or the unbornchild, which should best be avoided.
Therefore we believe that radical surgery of varicose veins should not be performed during pregnancy, except in exceptional circumstances.
These exceptional cases, which cannot be controlled by medical therapy, should be operated on between the fourth and sixth month of pregnancy.
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