Phlebolymphology N°59

Phlebolymphology N°59 (Vol 15 – N°2 – 2008)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2008 ; 15(2): 44 PHLEBOLOGY Stripping of the great saphenous vein under micronized purified flavonoid fraction (MPFF) protection (results of the Russian multicenter controlled trial DEFANCE) V.S. Saveljev – Phlebolymphology – 2008; 15 (2): 45 The white book of venous disease in Spain M. Cairols – Phlebolymphology – 2008; 15 (2): 52 The relation between pelvic varicose veins,chronic pelvic pain, and lower extremity venous insufficiency in women A. Kurt – Phlebolymphology – 2008; 15 (2): 61 Book review M. Perrin – Phlebolymphology – 2008; 15 (2): 68 An American Surgeon in Paris A…

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Phlebolymphology N°59 – Editorial

Dear Readers, In a recent review article in Phlebolymphology, Michel Perrin and George Geroulakos1 nicely summarized the pharmacological targets of phlebotropic drugs in chronic venous disease. The analgesic, antiedema, and capillary protection effects of such compounds have been demonstrated in many pharmacological trials. As a therapeutic consequence it is stated that in patients in whom invasive therapy (sclerotherapy, surgery) does not appear warranted, drugs are a good first-line treatment. New clinical reports show that phlebotropic drugs may also be useful in the postoperative management of patients undergoing varicose vein surgery. In a previous issue of Phlebolymphology, Lenka Veverkova and coworkers2…

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The white book of venous disease in Spain

Marc CAIROLS1 Josep MARINEL.LO I ROURA2 1. Department of Angiology and Vascular Surgery, Bellvitge Hospital L´Hospitalet de Llobregat, Spain 2. Department of Angiology and Vascular Surgery, Mataró Hospital Mataró, Spain Chronic venous disease (CVD) is extremely important in Western countries because of its high prevalence, chronic nature, repercussions on quality of life, and complications.1-3 In Spain, there is a high incidence of CVD both in primary care and in vascular surgical departments. Consequently, CVD consumes a high percentage of available resources4 and a large part of the public health budget. A first step towards improving care for patients with CVD…

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Book review : Sclerotherapy Treatment of Varicose and Telangiectatic Leg Veins.

A review by Michel Perrin First published in 1991, republished in 1995, 2001, and 2007, this book remains the backbone of our knowledge concerning sclerotherapy of chronic venous disorders. Divided into 15 chapters plus 8 appendices, this reference work of 439 pages covers not only sclerotherapy, but also surgery and intravascular procedures for treating varices, the use of compression (contributor Hugo Partsch), venoactive drugs (contributor Albert-Adrien Ramelet), and laser and high-density light treatment of telangiectasia. I particularly appreciated the 2 chapters devoted to noninvasive investigations and injection techniques. They provide all the details that both the beginner and the experienced…

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An American Surgeon in Paris – A brief report from a Servier Traveling Fellow

Brian KNIPP Ann Arbor, MI, USA INTRODUCTION As the plane touched down on the tarmac at the Istanbul Ataturk airport, I realized that my horizons had just broadened substantially. Born in the central United States, I had rarely ventured beyond our nation’s borders. Yet here I sat in Turkey, my body unsure of what time it was, or what time even meant, anticipating new vistas and experiences. We were transported to the Hotel Marmara, a beautiful edifice in the commercial district of Istanbul on Taksim Square, a short cab ride from several of the most stunning sights in the city….

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The relation between pelvic varicose veins, chronic pelvic pain, and lower extremity venous insufficiency in women

Neslihan ZEHRA GÜLTAPLÝ, Aydýn KURT, Ali ÝPEK, Mehmet GÜMÜP, Kemal Rýdvan YAZÝCÝOPLU, Gülçin DILMEN, Ýsmet TAP SUMMARY Purpose: to determine the frequency of pelvic varicose veins with transvaginal ultrasound and associated lower extremity venous insufficiency with Doppler ultrasound in women with chronic pelvic pain of undetermined origin. A total of 100 women with chronic pelvic pain of undetermined origin lasting more than 6 months were included in the study. The presence of anechogenic and non-pulsatile vascular structures demonstrating flow in Doppler ultrasound with a diameter >5 mm in parauterine and paraovarian localizations was accepted as pelvic varicose veins. In all…

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Stripping of the great saphenous vein under micronized purified flavonoid fraction (MPFF) protection (results of the Russian multicenter controlled trial DEFANCE)

Victor S. SAVELJEV2 Anatoly V. POKROVSKY1 Alexander I. KIRIENKO2 Vadim YU. BOGACHEV2 Igor A. ZOLOTUKHIN2 Sergey V. SAPELKIN1 SUMMARY This paper presents the results of the DEFANCE study (Daflon 500 mg* – assEssment of eFficacy ANd safety for Combined phlEbectomy study). The aim of the study was to compare the intensity of postoperative pain, the size of postoperative hematoma, and quality-of-life score between two groups of patients: • a MPFF at a dose of 500 mg group: patients who underwent stripping of the great saphenous vein (GSV) and were treated with MPFF at a dose of 500 mg 14 days…

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