With just a couple days to go, I am delighted to be welcoming our Faculty, Speakers and Delegates to what we hope will be a fascinating three days of Phlebology.

The study of venous diseases (Phlebology), used to be thought of as mainly “just varicose veins and thread veins”. However, over the last two to three decades, several new technologies and approaches have coalesced to making Phlebology a fascinating subject covering a huge number of different subjects and conditions.

One of the most important changes in the venous world has been the realisation that leg ulcers are often the result of curable venous disease, whether it be reflux, stasis or obstruction. A subject we’ll cover in depth during Wednesday 14th March.

We’ll be discussing the apparent disconnect between those providing diagnostic and treatment services for venous disease and those treating leg ulcers, plus how patients who could be cured are not receiving this treatment. Of course there are some patients who are not curable with endovenous surgery, and these require the expert nursing care that specialist ulcer nurses provide for example the Lindsay Leg Clubs founded by Ellie Lindsay OBE who will also be presenting at this meeting.

Advances in Venous Duplex Ultrasonography allowed us to understand venous flows and took us away from venography and other static imaging techniques. We learnt that we could not rely on diameter of veins but had to look at the flows. Now we are having to reapply that learning to pelvic varicose veins and pelvic vein reflux. On Thursday 15th March, we’ll be sharing this learning and the gold standards for diagnosis and treatment.

On Friday 16th March, we’ll be looking into the latest techniques for venous surgery for best patient results. We’ll be discussing how endovenous ablations have been revolutionary and now techniques not requiring tumescence such as MOCA and glue have transformed superficial venous surgery. We’ll discuss how Foam sclerotherapy continues to split opinion on if it’s the solution to superficial venous problems or if it should be used in conjunction with endovenous surgery.

In the main auditorium keynote lectures and live cases showing transvaginal duplex ultrasonography and leg vein duplex ultrasonography, endovenous thermal ablation, pelvic vein embolisation under local anaesthetic, TRLOP closure of perforators including the hedgehog technique for recurrent varicose veins and non-tumescent procedures, will all be shown live. Delegates will be able to ask questions throughout the procedure to get tricks and tips from the experts performing the procedures.

In satellite rooms, specialist nurses, doctors and scientists involved in the understanding and treatment of patients with leg ulcers will have sessions involving the diagnosis and treatment of patients, how to assess patients with leg ulcers fully and what options patients should be given for the best possible treatment. The sessions will be led by our guest of honour, Ellie Lindsay OBE, president of the Lindsay Leg Clubs and leading light in the world of leg ulcers combining both the nursing conservative approach and the surgical treatment approach for the benefit of patients.

Also in other satellite rooms, those interested in the science of how different endovenous techniques actually work at the cellular and tissue level will be discussed, including basic science relating to laser, radiofrequency, sclerotherapy, MOCA as well as other basic science subjects such as haemodynamics and how the microcirculation actually works. Although these are often overlooked by those involved in treating patients, it is only by the understanding of these basic scientific knowledge that we can keep developing our treatments for patients to give them the best possible results.

Throughout the meeting, world experts in Phlebology will be available for Q&A sessions so that Delegates can ask questions, allowing them to get the most out of their visit to the College of Phlebology International Veins Meeting. Questions can be asked in an open forum or, if delegates have questions that they wish to ask privately, individual Q&A sessions can be arranged either formally or informally through the downloadable online App from Crowd Compass Attendee Hub.

The College of Phlebology International Veins Meeting should provide practical information for everyone involved in diagnosing and treating patients with venous conditions. Whether these be varicose veins, thread veins, pelvic congestion syndrome, venous leg ulcers or indeed practitioners treating aesthetic veins of the face, arms, hands, breasts or elsewhere on the body.

I’m looking forward to welcoming you and will be delighted to talk to, or answer questions from any Delegate.