Phlebolymphology N°112 – Editorial

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Dear Readers,

In this new issue of Phlebolymphology, you will find the articles as below:

A. NOWAK-TARNAWSKA and L. REINA-GUTIERREZ (Spain) review the anatomy of the Giacomini vein, its hemodynamics and reflux variations depending on its valve arrangement that leads to 2 different types of reflux, and the minimally invasive treatment modalities for Giacomini-vein-related venous insufficiency that must be focused on the point of reflux.

The progression of chronic venous disease is associated with the perpetuation of an inflammatory process that translates early into microscopic changes at the level of the venous wall and valve structures, and the extensive cutaneous capillary network of the lower limbs. C. E. VIRGINI-MAGALHÃES and E. BOUSKELA (Brazil) show that it’s possible, by observing images of the cutaneous circulation, to identify the degree of microangiopathy and associate its findings with the evolution of chronic venous disease. The more advanced the clinical class, the more changes are observed in the cutaneous capillary, which grows and takes on an atypical shape.

The increasingly prevalent lipedema, lipohypertrophy, obesity, and lymphedema and their mixed forms are frequently overdiagnosed, underdiagnosed, or misdiagnosed, with undesirable repercussions for the patients and health systems. In her practical review, E. MENDOZA (Germany) explains the differential diagnosis based on descriptions on visual inspection and palpation of the affected legs, supported with many pictures.

The optimal management of combined iliac vein stenosis and ovarian vein reflux in patients with pelvic venous disease is a challenge that is approached by K. HARTH and G. SALAZAR (United States). This article describes insights to accurately diagnose the disease with its different clinical and anatomical presentations, focusing on the management of combined iliac vein stenosis and ovarian vein reflux in patients with nonthrombotic disease.

P. ORTIZ (Uruguay) explains in her review how the mechanochemical ablation with ClariVein and Flebogrif catheters can be an effective and safe ablation technique in selected patients with non-large-diameter saphenous trunks and using appropriate concentrations of sclerosants. This technique is producing good results in environments with limited resources and long surgery wait times such as in Latin American countries.

Enjoy reading this issue!

Dr Lourdes Reina-Gutierrez