"popliteal vein being the most common site, followed by aneurysms of the head and neck, abdominal veins, and thoracic veins. The definition of venous aneurysm remains controversial, and there is no precise size criterion in the literature to distinguish between venous dilatation and venous aneurysm. Aneurysms are described as saccular or fusiform, an important distinction not only for anatomical reasons but also in terms of hemodynamic considerations and choice of surgical treatment. DIFFERENT ANATOMICAL AND CLINICAL FORMS Venous aneurysms of the neck and face These aneurysms are rare a"

Full text

"ility of leg ulcer formation, but more often disabling pain and swelling with minimal skin changes. The prevailing view that intervention, and thus an appropriate workup should only be performed after failure of conservative treatment may deprive patients of early substantial symptom relief. Early investigations of postthrombotic limbs to describe the anatomic distribution of reflux and obstruction are mandatory as the conservative treatment is started. Invasive and conservative treatment may then be continued simultaneously. The decision to intervene is based upon the clinical status of the p"

Full text

"oms, signs, and the quality of life in patients suffering from CVD. Chronic venous disease of the lower limb is characterized by symptoms or signs produced by venous hypertension as a result of structural or functional abnormalities of major veins and capillaries. As a result, CVD must be considered to be at stages C0 to C6 of the CEAP classification.1 From former studies, 2,3 we know that quality of life of patients suffering from CVD is mainly impaired by the presence of symptoms, and that it is poorly influenced by the sex of the patients, the age, the presence of reflux or not, the severit"

Full text

"nclude endogenous and environmental parameters. The aim of the present study was to prove the hypothesis that the development of CVD might also be triggered by occupation-related risk factors. We determined the prevalence and social relationship of CVD in a wide cross-section of a total of 209 hospital employees, including doctors, nurses, medical technicians, secretaries, scientific staff, cleaners, and general staff, all without predocumented CVD. In addition, the restriction in quality of life due to symptoms of CVD was evaluated. CVD was classified according to the CEAP classification and "

Full text

"ctitioner (GP) and the further management by the specialist. Patients and method: From August 2001 to April 2003, 114 patients (age 15 to 91, 72 women) with suspected symptoms of DVT were prospectively recruited from a specialist practice for vascular surgery/phlebology. Symptoms and clinical findings were documented by a standard procedure. Results: Forty percent of the patients received compression therapy and 18% anticoagulation with heparin by their GP. Pain (88%) and swelling (71%) were the leading patient complaints. Physical examination revealed calf pressure pain (40%) and difference"

Full text

"us disorders was found in general hospital staff and cleaners. It may be assumed that the number of surgeons in this study was too low to put them into the same risk group of predominantly standing occupation. Dr Fischer from Göttingen discusses in his paper the difficulties for a general practitioner in handling patients with symptoms suspicious of deep vein thrombosis (DVT). Deep vein thrombosis could be diagnosed only in 10% of all patients referred to specialized centers. It remains to be determined how many patients who had not been sent for a detailed examination had a DVT. The re"

Full text

" prevalent in hospital employees S. Ziegler - Phlebolymphology - 2006; 13 (3): 150 REVIEW TRIANGLE (TRIple Assessment linkiNg siGns, symptoms and quaLity of lifE in CVD): a screening program initiated by Servier: The TRIANGLE screening program and the Bulgarian results T. Zahariev - Phlebolymphology - 2006; 13 (3): 156 Invasive treatment of post-thrombotic symptoms P. Neglén - Phlebolymphology - 2006; 13 (3): 156 Venous aneurysms M. Perrin - Phlebolymphology - 2006; 13 (3): 172 "

Full text

"of the ligated GSV stump. To mitigate the effect of neovascularization, several approaches are possible, which are reviewed in this article. Some surgical strategies directly focus on the saphenofemoral junction (SFJ). Instead of simple ligation of the GSV stump, modified techniques have been tested: complete elimination of the GSV stump, hiding (inverting) the GSV stump, increasing the spatial separation between the stump and surrounding superficial veins, adding the construction of a prosthetic or anatomical barrier to the classical ligation, or even completely abandoning SFJ ligation. Th"

Full text

" method for the management of varicose veins. However, several reports established most of its principles approximately 50 years ago. Minor modifications in the way foam is produced, as well as the use of ultrasound to guide it to all of the sites of venous reflux, have resulted in a renewed interest in this technique. Recently, we have progressed from observational studies that established the efficacy and safety of this technique to the first randomized controlled trials. We need long-term follow-up in properly controlled randomized studies before we can claim that ultrasound-guided foam scl"

Full text

" a quality-of-life questionnaire (CIVIQ), and a patient diary between two groups of patients, consisting of: • a treatment group: patients who underwent a stripping procedure of the great saphenous vein (GSV), and were treated with Daflon 500 mg®* 14 days before and 14 days after the operation, 2 tablets 500 mg/day; • a control group: patients who underwent stripping of the GSV, but were not treated with Daflon 500 mg®. In addition, the two groups were also compared for the size of postoperative hematoma, analgesic consumption, and for the incidence of other symptoms associated with"

Full text