Peripheral Venous Insufficiency Research Articles

Photoplethysmography-based assessment of varicose vein-related risk factors, exercise health beliefs, and venous refill time in healthcare professionals working in operating rooms and outpatient clinics.

Impaired venous return is observed in healthcare professionals who spend long periods standing and sitting. This descriptive cross-sectional study was conducted to evaluate varicose vein-related risk factors, exercise health beliefs, and venous refill time in healthcare professionals working in operating rooms and outpatient clinics by photoplethysmography. The study sample consisted of 100 healthcare professionals without a diagnosis of peripheral venous insufficiency. Data were collected using a descriptive characteristics form, the Health Belief Model Scale for Exercise, the Short-Form McGill Pain Questionnaire, and photoplethysmography. This study found that OR nurses had shorter venous refill times and experienced more pain due to prolonged standing, despite their high health beliefs about exercise. Healthcare professionals working in operating rooms should be screened for venous insufficiency and trained regarding the practices to prevent venous insufficiency, such as lying down, elevating legs, and using elastic stockings.

Peripheral venous insufficiency in nursing personnel

Introduction: peripheral venous insufficiency (PVI) occurs as a consequence of morphological and functional abnormalities presented by the veins of the lower limbs. Objective: to determine the causes for the development of peripheral venous insufficiency in nursing personnel. Methods: the research was quantitative, descriptive and cross-sectional, and was carried out in a public university in Ecuador. The sample consisted of 45 nursing professionals working in the health care and teaching areas. The selection was made by simple random sampling. Three instruments were applied: a general characteristics interview guide, a questionnaire to identify prolonged standing and a questionnaire to identify varicose veins. The data were processed with descriptive and percentage statistics. Results: 51 % were aged between 46 and 55 years, 42,2 % cared for up to 10 patients, 82 % remained standing for the longest time, 86,7 % (chose work as the place with the longest standing time and 93 % presented the symptom of pain. Conclusion: standing as the main cause and pain as the most frequent symptom

Incidence of Peripheral Venous Insufficiency in Nursing Professionals Community-Verified Icon

Introduction: Peripheral venous insufficiency has an approximate prevalence of 60 % in nursing professionals. Objective: To estimate the incidence of peripheral venous insufficiency among nursing professionals of the Provincial Pediatric Teaching Hospital “Dr. Edward Agramonte Pineapple”. Methods: An observational, descriptive and cross-sectional study was conducted in the Provincial Pediatric Teaching Hospital “Dr. Eduardo Agramonte Piña” of Camagüey during the first half of 2022. The universe consisted of 272 nurses and the sample remained conformed by the 154 who met the selection criteria. The variables studied included: sex, etary group, referred symptoms, developed clinical signs, modifiable and non-modifiable risk factors, and measures used to prevent disease progression. The study was approved at the Scientific Council, the Ethics Committee of the Hospital and the principles of the Declaration of Helsinki were taken into account. The data were expressed in quantity and percentage. Results: There was a predominance of the female sex (98.1 %), the etary group 50-59 years (43.5 %), and, as main signs, fatigue (55.8 %) and telangiectasia (72.2 %). ). Prolonged bipedestation (92.9 %) resulted in the prime modifiable risk factor, while arterial hypertension presented in non-modifiable (33.8 %). The 40.3 % referred to the use of compression stockings to prevent disease progression. Conclusions: A high incidence of varices in female, elderly nursing personnel associated with occupational risk factors such as prolonged bipedalism and sedentary lifestyle was determined.

Sexual dysfunction with complex etiopathogenesis centered on vulvar cancer

Normal sexual activity is conditioned by the morphophysiology of the integrity of the genital organs and of the human brain, respectively by the absence of associated pathology. In the reported case, the 57-year-old female patient presented for a gynecological consultation, having very intense vulvar itching. Previously, the patient addressed the dermatology department, where she was diagnosed with ”vulvitis with significant edema and erythema” for which she underwent local treatment for 4 weeks. After dermatological therapy, the itching improved slightly, but persisted in association with the local stinging sensation. The vulvar itching became very intense, and the patient solicited a gynecological reexamination. It has to be noted that the patient believed, at that time, that the itching was due to psoriasis, a disease she had been suffering from since she was 10 years old.The emergency investigations establi- shed the existence of vulvar cancer, due to bilateral vulvar tumor. It should also be mentioned that the patient was undergoing therapy for the diagnosis of paranoid schizophrenia, for that of chronic peripheral venous insufficiency, respectively for manifest menopa- usal disorders. In this context, sexual intercourse has completely disappeared, due to complex sexual dysfuncti- on, so that the libido, the erection, the copulation and the orgasm no longer existed.

V-013 ETEP - STEP BY STEP

Abstract Minimally invasive approaches are increasingly being used for the correction of abdominal wall hernias. Although laparoscopy presents as a greater technical challenge compared to classical techniques, once the learning curve is overcome, the advantages are multiple: less postoperative pain, shorter hospital stay, faster return to daily/professional activities and lower rate of surgical site infection. The authors present the case of a 55yo women with a history of type 2 diabetes mellitus and peripheral venous insufficiency. No history of previous surgeries. The patient was referred to an appointment in the Ambulatory Surgery Centre for evaluation of a primary midline hernia. Symptoms were worsening in the last 6 months. No previous episodes of complications. Preoperative evaluation included an abdominopelvic computed tomography, which revealed a hernia sac containing only fatty tissue (no intestinal loops present) and a 19 mm hernial neck with a supra-umbilical median location. No other abdominal wall defects were evident. The patient was proposed for a laparoscopic approach - extended totally extraperitoneal (eTEP) in ambulatory setting. The surgery and post-operative period (9 months) to date went without intercurrences. The present video aims to demonstrate the main steps of the surgical technique applied in a tertiary centre with years of experience in laparoscopic abdominal wall surgery. With this paper the authors pretend to demonstrate that laparoscopy may become the gold-standard in abdominal wall hernia correction as soon as the know-how and respective learning curve are aquired. Until then, these cases should continue to be referred to specialized tertiary centres.

An evaluation of risk factors affecting amputation in patients with diabetic foot Infection

Introduction: Diabetic foot infections are one of the most common complications of diabetes and generally result in lower extremity amputations. Aim: The purpose of this study is to investigate risk factors affecting amputation in patients diagnosed with diabetic foot ulcer. Materials and Methods: This prospective cohort study involved 137 patients diagnosed with diabetic foot infection in a university hospital diabetic foot clinic. Results: The mean age of the participants was 60.5±10.1 years, and 70.8% (n=97) were men. The majority of patients (62.0%) were educated to elementary or middle school level, while 26.3% were illiterate. Mean duration of diabetes was 13.3±6.2 years. Hypertension was present in 48.2% of patients, hypercholesterolemia in 31.4%, cardiovascular disease (CVD) in 38%, peripheral artery disease (PAD) in 21.2%, peripheral venous insufficiency in 10.2%, and polyneuropathy in 70.1%, and 9.5% were receiving hemodialysis. According to the Infectious Diseases Society of America classification, moderate foot ulcers were present in 60.6% of patients, mild ulcers in 34.3%, and severe ulcers in 5.1%. Forty-six percent of patients were diagnosed with osteomyelitis during follow-up. Amputation was present in 28.5% (n=39) of the patients followed-up due to foot ulcers. PAD increased the risk of amputation 2.7-fold (95% CI: 1.02-7.14), osteomyelitis 2.6-fold (95% CI: 1.10-6.16), and repeated hospitalizations 5.9-fold (95% CI: 2.25-15.33). Growth was observed in 72.6% of patients without amputation, 76.5% were polymicrobial, and 65.9% of antibiogram results were multidrug resistant. No significant difference was observed among the patients in terms of multidrug resistance (p=0.468). Conclusion: PAD, osteomyelitis, and history of repeated hospitalizations are separate risk factors for amputation in patients with diabetic foot ulcers.

Immediate and long-term evolution assessment after surgery on the saphenous vein with the modified CHIVA technique

Introduction The preservation of the great saphenous vein (GSV) has increasingly been considered when surgery for the treatment of varicose veins is indicated when complications from degenerative diseases, such as atherosclerosis at a coronary level and peripheral venous insufficiency occur. Thus, the autologous GSV is considered the best substitute for arterial revascularization. The technique that preserves the great saphenous vein is the Conservative Ambulatory Hemodynamic Management of Varicose Veins (CHIVA), which is widely used. Considering the importance and the use of this technique, the objective of this study was to evaluate the immediate and long-term evolution after surgery on the saphenous vein with the modified CHIVA technique. Materials and Methods A prospective observational study with data from individuals who underwent surgery for the preservation of the GSV by the modified CHIVA technique with the removal of varicose tributaries without ligation of the saphenofemoral junction. Data collection was performed from March 2014 to January 2015 at Padre Anchieta Hospital in Sao Bernardo do Campo, SA£o Paulo. The variables were the great saphenous vein patency assessed by means of vein diameter, as described above, and the presence or not of reflux during the preoperative assessment, on the 30th day after surgery, and at the sixth month after surgery. Results The main results showed that there were no statistically significant differences in the saphenous vein diameter in any of the evaluated segments and in regard to the presence of reflux when comparing the pre-operative period to 30 days after CHIVA and to six months after CHIVA. Conclusion This study did not show change in the diameter of the veins, nor recurrence of reflux in the lower limbs, thus, it showed good results in the short, medium, and long term. There was no relationship between the diameter reductions of veins during the follow-up period.

Intracardiac Venous Stent Migration: Emergency Department Presentation of a Catastrophic Complication

BackgroundVenous stents are commonly placed to ensure patency in patients with chronic peripheral venous insufficiency. Although serious complications are uncommon, peripheral venous stent placement can have some potentially life-threatening complications. One of the most feared, and certainly the most dramatic, complication is stent migration. Case ReportWe report on a 55-year-old woman with transvenous migration of an infrarenal inferior vena cava stent into the right atrium and through the intra-atrial septum. The patient expired in the emergency department (ED). Why Should an Emergency Physician Be Aware of This?There are several potentially life-threatening post-surgical complications after an endovascular procedure, some of which occur shortly after the patient is discharged from the recovery unit. Frequently, these patients present to the ED for initial evaluation. Although details of the procedure performed and the surgical intervention might not be available immediately, emergency physicians should consider stent migration when a patient presents in extremis shortly after an endovascular procedure.

Disminución de la presión arterial en pacientes con arteriopatía periférica mediante el masaje reflejo del tejido conjuntivo

Aims Evaluate the effectiveness of connective tissue reflex massage on systolic and diastolic blood pressure in patients with peripheral arterial disease. Methodology Twenty-six patients with peripheral arterial disease from the Health District of Granada participated in the study during a 15-week intervention period. The study sample was randomly divided into an experimental group and a control group. Exclusion criteria were peripheral arterial insufficiency at more advanced stages, peripheral venous insufficiency, cardiac, renal or hepatic insufficiency. Application of the connective tissue reflex massage according to the method of Elizabeth Dicke was regarded as the independent variable. The dependent variable was evaluation of systolic and diastolic blood pressure in both upper limbs. Outcomes Significant differences could be observed between the baseline and post-baseline evaluations between the two study groups in the right diastolic blood pressure (baseline, p<0.043; 1st evaluation, p<0.041; 2nd evaluation, p<0.047), and left systolic blood pressure (basal, p<0.042; 1st evaluation, p<0.04; 2nd evaluation, p<0.049). Conclusions Connective tissue reflex massage causes a blood pressure decrease in patients with stage I peripheral arterial disease.

Eficacia de la fisioterapia en la insuficiencia venosa crónica en evolución

Objectives To study the effectiveness of physical therapy in venous insufficiency and ulcer as a complication of it. Method Search conducted in PEDro (score greater than 6), Cochrane, MEDLINE and CEBP. Results Venous edema was reduced to 2.2 cc by active mobilizations and circulatory shunt. It was found that ultrasound was not effective on the venous ulcer after 7 trials were reviewed. Sham ultrasound was compared in 4 of them and the remaining 3 were collated with the standard treatment. Other studies with ultrasound pulses of 0.5 W/cm 2 to 1 MHz for 12 weeks also showed no improvement. Laser showed no significance for the ulcer although its therapeutic effects were verified when it was combined with infrared light. Conclusions Pump kinesiotherapy is effective in venomuscular peripheral venous insufficiency. Therapeutic laser and ultrasound when used separately do not alter the development of the phlebostatic ulcer.

Allergic contact dermatitis to Aloe vera

We present the case of a 72-year-old woman observed for dermatitis on the legs followed by apperance of erythema on the eyelids. She had a past history of peripheral venous insufficiency and had been using self home-made Aloe vera juice over the legs for relief from pain. Patch tests showed positive reactions to the leaf of Aloe, the macerated Aloe jelly, and nickel sulfate. Although most manufacturers process Aloe products avoiding its irritant extracts, and probably as a consequence reports of allergic reactions are rare, one must remember that the growing popularity on the use of Aloe products may stimulate its use 'as is' by the patients. Furthermore, it is important to specifically ask patients about the use of these products, because they consider it as innocuous and thus would not spontaneously provide such information.