Its most common manifestations are varicose veins, heaviness in the legs or swelling or edema.
Phlebology is a medical-surgical subspecialty within the vascular surgery that involves the study, treatment and prevention of diseases
affecting the venous system. The venous pathology can cause numerous symptoms and signs, the most frequent is heavy legs and the appearance of varicose veins.
Phlebological disorders are very prevalent in our society, affecting both men and women,
More than 50% of the population aged over 50 years could be afected by this disease. There are different manifestations ranging from varicose veins of the legs (venous cord
RAISED dilated and the skin of the legs) to the anti-aesthetic dilations capillaries or spider veins that usually affect thighs and legs. In extremely
advanced stages ulcers and sores may appear on the legs. whose healing is extended in time and can be very disabling
Venous system function22. Source: Health Medical Solutions Sl.
Origins of varicose veins
Varicose veins are a frequent sign of chronic venous failure.
The varicose vein is the result of the dilation or deformity of a vein (blood content drainage duct) located on the surface of the skin. You know you’ve got a case of varicose veins
when the size of this duct exceeds 5 mm in diameter.
When the ducts are smaller, they are reticular veins (from 2 to 5 mm); they are spider veins and telangiectasias if they have a diameter of < 2 mm.
Varicose veins appear in 15% of the population and, a third of these cases have significant discomfort. They are more frequent in women and there is a family predisposition.
Obesity, pregnancy, type of physical activity and physical constitution are other factors that have an influence on this disease.
Signs, symptoms and different types of varicose veins
Tortuose Varicose Vein
The venous diseases and their treatments
Varicose veins, spider veins and treatment with very little aggressive methods
Varicose veins are the result of deformation by expansion, enlargement, or altering the shape of the veins caused by chronic venous insufficiency. Veins most often affected are located on the legs, although in certain cases may also occur in veins inside the body (varicose veins in the esophagus), parts located around the pelvis and pelvic varices calls and ovarian, or in the distal part of the gastrointestinal tract near the anus (hemorrhoids).
Today it is possible to remove varicose veins without surgery through minimally invasive methods in which the patient goes in and out of the clinic in a few hours and on their own feet, without being necessary to follow a postoperative course as known so far. The patient can resume normal activities immediately.
In Clinica Vascular Barcelona we are specialists in diagnosing and removing varicose veins without surgery. Various treatments available for treating varicose veins and apply the most appropriate in each case. We also offer our patients surgical solutions for cases where treatment is not possible in other ways less invasive.
Pelvic veins that arise from left ovaric vein
Pelvic veins forming a varicose cluster
Pelvic Varicose Veins and Congestion Sindrome
Affect women more than men and cause considerable inconvenience
Abdominal pain often associated with hormonal changes or heavy legs associated with varicose atypical location (vaginal, vulvar, gluteal hemorrhoids, etc.) Has not received sufficient interest for having overlooked Pelvic venous disease. All these manifestations can relate syndrome ovarian and hypogastric venous insufficiency. Minimally invasive scans can give us accurate diagnosis allows to propose most appropriate therapeutic strategy.
Pelvic congestion syndrome is a frequently misdiagnosed and little known to affect up to 10% of women. It is well known origin and is characterized by the presence of varicose veins ovarian and other veins of the pelvis (hypogastric, pudendal).
Congestive Pelvic Syndrome
If you think you have some kind of flebologic pathology or have varicose veins and want to remove them, please contact our specialists in Clinica Vascular Barcelona, who will take great care to provide a diagnosis in detail and advise you the most appropriate treatment for you.
Dr. ENRIC ROCHE REBOLLO
Angiologist and Vascular Surgeon. Association member no. 28119
Graduate of the FACULTY OF MEDICINE of the Provincial Hospital Clinico Central University. Resident Locum in ANGIOLOGY and VASCULAR SURGERY GERMANS TRIAS I PUJOL UNIVERSITY HOSPITAL of Barcelona 1993 -1997
Since 1999 to april 2015 was Head of the Angiology and Vascular Surgery Department of the Hospital Plato of Barcelona. Currently is also Medical Director of CLINICA VASCULAR BARCELONA in Barcelona.
Actually in QUIRON GROUP Head of the Angiology ans Vascular Surgery Department of the Hospital Sagrat Cor of Barcelona and Hospital General de Cataluña.
He complemented his training in national and international services, especially the BARNES JEWISH HOSPITAL WASHINGTON UNIVERSITY MEDICAL CENTER. St. Louis. Missouri. (USA).
Specialist at the GERONA JOSEP TRUETA UNIVERSITY HOSPITAL 1998-1999 and at the GERMANS TRIAS I PUJOL UNIVERSITY HOSPITAL 1997-1999.
Since 1999, he has been in charge of the Angiology and Vascular Surgery department of the HOSPITAL PLATO of Barcelona. www.hospitalplato.com (Public Health Centre)
Author of about thirty articles and speaker at congresses and round tables on the speciality on more than 100 occasions. PhD courses carried out at the Autonomous University of Barcelona 1995-1996
He has a Master in Hospital Management and Health Care Services Management (2000-201) from the Central University of Barcelona and he did post-graduate courses on Quality, Process Management and EFQM Continuous Improvement Systems, and he takes an active part in his hospital’s committees.
He’s also Medico-legal specialist and member of council of medical college of Barcelona since 2010.
He has been the organizer of meetings on the speciality where Tecnovasc 1999, 2001, 2003 and 2005 (www.tecnovasc.com) stands out as an international symposium on technological breakthroughs in vascular surgery and the first spanish workshop meeting on the Tessari sclerotherapy method in 2004.
He has been coordinator of vascular surgery attention between Primary Care and Hospital Care of the Esquerra de la Eixample (a geographic area with 600,000 inhabitants which includes the hospitals Hospital Clinic, Hospital Sagrat Cor and Hospital Plato) since 2007.
Within the speciality, he has dedicated special attention to the treatment of chronic venous disease through minimally invasive techniques and he has promoted endovenous procedures like the endolaser, radiofrequency and ultrasound-guided sclerosis with foam (www.solucionvarices.com). Likewise, he has created a fast circuit for attending to lower limb ulcers in his area of reference.
In the Hospital Plato, he works along with another 4 vascular and endovascular surgeons where they carry out almost all vascular and endovascular procedures, both venous and arterial. In the Hospital Plato, over 900 venous procedures are currently being carried out every year, plus 300 cases among arterial procedures, fistulas for haemodialysis and other treatments.
During 2007, Dr. Enric Roche was Dr. Juan Cabrera collaborator in Barcelona in the treatment of varicose veins with microfoam. During 2008 and 2009 he was director of the International Institute of Phlebology which applied the technique of microfoam sclerotherapy in varicose veins and vascular malformations.
Currently, his professional activity is carried on in HOSPITAL PLATÓ and CLINICA VASCULAR BARCELONA.