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Nichtoperative Therapie der Varikose

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Varikose

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Zusammenfassung

Die primäre Varikose ist eine unheilbare Erkrankung. Die Forderung nach einer konsequenten und frühzeitigen Therapie ist zum einen eine Forderung vorausschauender Gesundheitsfürsorge und ärztlicher Ethik und andererseits eine ökonomische Notwendigkeit, da die Spätstadien der dekompensierten Varikose ganz erhebliche Behandlungs- und sonstige Folgekosten verursachen. Nimmt man einmal das therapieresistente Ulcus cruris aus, so ergibt sich bei der Varikose in jedem Stadium immer und ausnahmslos eine Option für die konservative Therapie, welche die gegebenen Beschwerden mehr oder weniger zu lindern imstande ist, die Entwicklung schwerwiegender Spätstadien verhindern kann, aber natürlich Varizen weder zum Verschwinden bringt, noch die immanente Progression der Erkrankung verhindern kann. Dies bedeutet allerdings keineswegs, dass die konservative Therapie in der Hierarchie der Therapieoptionen eine herausragende Stellung einnimmt. Die Frage nach dem Benefit für den betroffenen Patienten ist vor jeder Therapieentscheidung zu stellen und kann je nach Lage der Dinge zu sehr unterschiedlichen Schlussfolgerungen führen.

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Authors and Affiliations

  1. Dresden, Deutschland

    Helmut Nüllen

  2. Klinik für Gefäßchirurgie und endovaskuläre Chirurgie, Krankenhaus Martha-Maria, Nürnberg, Deutschland

    Thomas Noppeney

  3. Institut für Pharmakologie und Klinische Pharmakologie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland

    Thomas Hohlfeld

  4. Schopfheim-Raitbach, Deutschland

    Dieter Strass

  5. Freiburg, Deutschland

    Bernd Hartmann†

  6. Venen und Wundzentrum, Helios Cäcilien-Hospital Hüls, Krefeld, Deutschland

    Peter Waldhausen

  7. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herz- und Gefäßzentrum Hamburg, Hamburg, Deutschland

    E. Sebastian Debus

  8. Klinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Deutschland

    Holger Diener

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  5. Bernd Hartmann†
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    Thomas Noppeney

  2. Dresden, Deutschland

    Helmut Nüllen

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Nüllen, H. et al. (2022). Nichtoperative Therapie der Varikose. In: Noppeney, T., Nüllen, H. (eds) Varikose. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59117-8_20

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