Abstract
Venous disease or venous insufficiency is the main cause of lower limb ulcers. In most cases its onset of the disease is insidious, and it has a high recurrence rate. Venous insufficiency is related to active ulcers and encompasses a set of pathophysiological mechanisms that trigger venous hypertension. Valvular dysfunction and wall hyperlaxity have been shown to damage the veno-muscular pumps, which are vital for venous blood return to the right heart chamber and consequently raising venous pressure in the venous system p. Its classification is given according to clinical severity and encompasses etiology, anatomy, and pathophysiology. A diagnosis can only be accomplished by conducting an ultrasound study of the venous system. After the bibliographic review, it was determined that age and inactivity are the main risk factors for the appearance of the disease. Regarding the management of ulcers presented because of venous insufficiency, the main approach includes compressive and pharmacological treatments and due to its high recurrence rate the need for treatment increases with the progression of venous insufficiency. On the other hand, endovenous approaches have been shown to reduce surgical stays and operating room time.
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Copyright (c) 2023 Ximena Fumero Mora, Felipe Moreno Arroyo, Natalia Ordóñez Conejo