ABSTRACT
This chapter presents the approved revised format of Clinical Etiological Anatomical Path physiological (CEAP). It examines the fundamental importance of defining the etiologic basis of the clinical problem. The CEAP classification deals with all forms of chronic venous disorders. The term “chronic venous disorder” includes the full spectrum of morphological and functional abnormalities of the venous system, from telangiectasias to venous ulcers. Chronic symptoms which may include pelvic pain, perineal heaviness, urgency of micturition, and post-coital pain, caused by ovarian and/or pelvic vein reflux and/or obstruction, and which may be associated with vulvar, perineal, and/or lower leg varices. Venous disease is often considered to be a simple problem undeserving of a multi-categorized classification format. In contrast to primary disease, post-thrombotic secondary disease is an acquired inflammatory venous problem that begins as a purely obstructive phenomenon and evolves into a mixture of reflux and obstruction in the deep veins.
