November 22, 2023 // 3:00 pm CET // 120 min

Duplex ultrasound and compression applications for venous health

Explore the first ever MOH Connect!

Embark on a journey into the world of venous health and diagnostics with Dr Erika Mendoza and Dr Tobias Hirsch from Germany! 🩺

Get ready to dive deep into the realm of duplex ultrasound, where you'll uncover its diagnostic power in the context of venous health. Discover the efficacy of compression applications for treating venous disorders, and explore how these innovative techniques are revolutionizing patient care.

In this first of its kind MOH Connect, Dr Erika Mendoza gives insights into the art of duplex ultrasound investigation during a live patient examination in her vein clinic, followed by Dr Tobias Hirsch’s presentation about state-of-the-art compression application including hot-off-the-press evidence.

The MOH Connect was moderated by Dr. Mohamed Omar Elfarok, a Vascular and Endovascular Surgeon in Cairo, Egypt.

Dr. Erika Mendoza, specializing in venous investigation and CHIVA treatment, streamed live from her clinic how she investigates a patient with varicose veins using duplex ultrasound. Operating a vein clinic in Germany since 1997, Dr. Mendoza's expertise extends to vital roles in international phlebology societies. She performed different maneuvers (Valsalva, toe elevation, calf compression and dependency maneuver) and explained the key points for each maneuver. Furthermore, Dr Mendoza shared important observations with implications for therapy.

Dr. Tobias Hirsch, a specialist in Internal Medicine and Angiology, provided practical insights into compression therapy. In his presentation, Dr Hirsch provided an overview of different types of compression therapy (Compression bandages, medical compression stockings and adaptive compression devices (wraps)) and pointed out their characteristics and usages. He highlighted evidence-backed guidelines from international societies. Covering diverse cases, including post-surgery lymphedema, lipedema, venous leg ulcer and DVT, Dr. Hirsch stressed the importance of tailored compression strategies. Additionally, Dr Hirsch presented the preliminary results of the AKROE study on using Coolflex Standard Calf and Foot in edema patients. 

Take home messages

  • Effective venous examination relies on proper techniques such as Valsalva and dependency maneuver, as demonstrated by Dr. Mendoza's live investigations.

  • Tailored compression strategies are crucial in managing conditions like post-surgery lymphedema and cancer-related edema, as emphasized by Dr. Hirsch.

  • Evidence-based guidelines from international conferences, presented by both speakers, play a vital role in informing effective compression therapy practices.

Watch the full session


Exploration of a patient with varicose veins - provocation maneuvers, sapheno-femoral junction, perforating veins


Erika Mendoza, Germany

Specialised on venous investigation (Duplex Ultrasound) and treatment with preservation of saphenous trunk (CHIVA) with vein office in Wunstorf, Germany since 1997. Authored books on Duplex Ultrasound  and CHIVA with Springer in German and English. Provides lectures and Hands on workshops in Germany and international meetings. 

General Secretary of German Society of Phlebology since 2015, Current President of EVF

President of German Phlebology and Lymphology Society Meeting 2022 (Hannover), President EVF Meeting 2023, Berlin, President German Society of CHIVA since 2000, Member of Educational Committee UIP since 2023


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Different applications of compression in venous insufficiency

Tobias Hirsch, Germany

Tobias Hirsch, Germany

Specialist for Internal Medicine and Angiology; Board Member of Professional Association of Phlebologists (BdP). He has been an invited speaker or lecturer at many international vascular conferences in Germany, Europe, the UK and the US. In 2020 he chaired the 62nd international Annual Conference of the German Society of Phlebology. He is a board member of both the German Society of Phlebology (DGP) and the Professional Association of German Phlebologists and Executive Board member of the European College of Phlebology (ECoP). Member of the Scientific Committee of UIP. 


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Omar Farouk

Dr. Mohamed Omar Elfarok, EGY

Mr. Mohamed Omar Elfarok is a consultant vascular and endovascular surgeon who specializes in advanced endovascular and open surgery for critical limb ischemia and diabetic atherosclerotic disease. He also has extensive experience in complex endovascular surgery for aortic aneurysms and lower extremity occlusive disease, as well as hybrid surgical techniques for PVD, varicose veins, and dialysis access.

Mr. Mohamed Omar Elfarok earned his undergraduate degree at Ain Shams University 1983. He completed his postgraduate vascular surgery training at west midland vascular rotation in UK . and he obtained fellowship of the Royal college of Surgeons of England 1994 and Royal college of Edinburgh same year After completing his training, he joined the General Organization of Teaching hospitals and Institutes in Cairo Egypt GOTHI..

Mr. Mohamed Omar Elfarok research interests include surgical education, simulation, course design, and milestone skill training. He has written numerous research publications and given many presentations on his work. He is also an Examiner of the Royal College of Surgeons of England.




Mahmoud Elghadban

Mahmoud Elghadban, CH

Global Marketing Manager at SIGVARIS GROUP


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