Guidelines For Prospective Studies

In order to know the prevalence and annual incidence of REVAS we need prospective studies well documented in detail from the outset of surgical treatment as in Kostas' series.16

These studies may give information on:

• The value of routine postoperative scanning in the early detection of persisting reflux;

• The relationship between hemodynamics and clinical recurrence;

• The possible role of compression therapy and/or complementary postoperative sclerotherapy in preventing recurrence;

To identify what is the best method, when REVAS has occurred, prospective randomized studies using different treatments are needed. These studies may use both the updated CEAP and REVAS classification and a quality of life questionnaire.

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How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

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