MANUEL
RF
3. VARICOSITIES
A PRACTICAL GUIDE TO THE TREATMENT OF VARICOSITIES by Dr. Jean Marc
CHARDONNEAU
3.1.
Introduction
The legs, as organs used for walking and communication, play a leading role in social life.
Superficial vein disorders in the legs are a major preoccupation for our contemporaries, in
particular from an aesthetic point of view. Understanding how to respond to this demand is the
main purpose of this guide.
It sets out to provide practitioners with a grounding in the anatomical, physiological and
therapeutic elements required for a calm approach to superficial vein disorders caused by
varicosities and will enable you to make effective use of the various treatments.
The common thread running through this guide is one of pragmatism
3.2.
Anatomy of the venous system
3.2.1. General information on vascularisation
Date 27/03/2014
THERMOCOAGULATION – Viridex
T
hree types of circulation flow through the lower limbs:
arterial - venous and lymphatic.
Arterial blood flows from the aorta to the common iliac
artery and then the external iliac artery before traversing
the femoral canal. The femoral artery divides very rapidly
into the superficial femoral artery and the (more
secondary) deep femoral artery. The popliteal artery
follows on from the superficial femoral artery, giving rise
to two branches: the anterior tibial artery and the
tibioperoneal trunk, which in turn divides into the posterior
tibial artery and the peroneal artery.
Blood returns via two networks:
1.
a superficial network that drains 1/10 of the blood
2.
a deep or aponeurotic system that drains 9/10 of
the blood and is a satellite of the arterial system.
These two networks are linked by communicating veins
flowing, under normal conditions, from the superficial
network to the deep network.
The lymphatic vessels drain the lymph, which comes
from the interstitial tissue. Lymphangions, then collectors
and finally ganglions, ensure circulation to the thoracic
canal. They traditionally transport substances with a high
molecular weight.
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