Phlebolymphology N°53

Strategies to minimize the effect of neovascularization at the saphenofemoral junction after great saphenous vein surgery: an overview

Marianne G. De MAESENEER Department of Vascular Surgery, University Hospital Antwerp, Belgium ABSTRACT The recurrence rate remains high after great saphenous vein (GSV) surgery. One of the major contributing factors is neovascularization at the level 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…

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Foam sclerotherapy for the management of varicose veins: a critical reappraisal

George GEROULAKOS Consultant Vascular Surgeon, Ealing and Charing Cross Hospital, Senior Lecturer, Department of Vascular Surgery, Imperial College of Science Technology and Medicine, London, UK SUMMARY Foam sclerotherapy is often presented as a new 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…

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Analysis of the various procedures used in great saphenous vein surgery in the Czech Republic and benefit of MPFF at a dose of 500 mg to postoperative symptoms

Lenka VEVERKOVÁ1, Václav JEDLIČKA, Jan WECHSLER, Jan KALAČ 1 Saint Anna´s Teaching Hospital, Brno, Czech Republic SUMMARY The aim of this clinical study was to compare the intensity of postoperative pain using a 10-cm Visual Analog Scale (VAS), 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 MPFF at a dose of 500 mg®* 14 days before and 14 days after the operation, 2 tablets 500 mg/day; • a control group: patients who underwent…

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What have we learned from the Bonn Vein Study?

Eberhard RABE Felizitas PANNIER Department of Dermatology, University of Bonn, Germany ABSTRACT Between November 2000 and March 2002, the German Society of Phlebology, in cooperation with the german ministry of health, performed the Bonn Vein Study in the city of Bonn and two rural townships. The participants were chosen from a simple randomized sample taken from the population registers. In total, 3072 (1722 women, 1350 men) participants between 18 and 79 years of age were investigated. Only 9.6% of the population (13.6% men, 6.4% women) showed no signs of venous disorders (C0) according to the CEAP classification, while 59.1% (58.4%…

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Venous edema of the lower limbs

Pascal PRIOLLET Vascular Medicine St Joseph Hospital Foundation Paris, France Chronic venous disorders of the lower limbs are manifest by many noticeable, but few specific, clinical signs. In France, some 18 million persons suffer from pain in the legs and 12 million may have varicose veins. Over 200 000 hospital admissions per year may involve venous disease, two-thirds of which require surgical management. Slightly more than 5% of cases of sick leave from work may be related to venous disease and the functional signs that accompany it, amounting to millions of lost workdays. Thus, without a doubt, venous disease is…

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Phlebolymphology N°53 (Vol 13 – N°4 – 2006)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2006; 13(4): 182 PHLEBOLOGY Venous edema of the lower limbs P. Priollet – Phlebolymphology – 2006; 13 (4): 183 What have we learned from the Bonn Vein Study? E. Rabe, F. Pannier – Phlebolymphology – 2006; 13 (4): 188 REVIEW Analysis of the various procedures used in great saphenous vein surgery in the Czech Republic and benefit of MPFF at a dose of 500 mg to postoperative symptoms L. Veverková, V. Jedlička, J. Wechsler, J. Kalač – Phlebolymphology – 2006; 13 (4): 195 PHLEBOLOGY Foam sclerotherapy for the management of varicose veins: a…

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Phlebolymphology N°53 – Editorial

Edema is one of the leading symptoms of acute and chronic venous diseases. As demonstrated in Pascal Priollet’s contribution to this issue of Phlebolymphology, many other disorders may also cause edema of the lower extremities. This can make differential diagnosis difficult, since a wide spectrum of various pathologies must be considered, sometimes occurring in addition to varicose veins or venous insufficiency. It is not surprising, therefore, that leg edema is a frequent finding, even in the general population. However, phlebologists, who are aware of the high incidence of varicose veins, may be surprised to learn that in a large population…

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