By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci
The one textual content in particular dedicated to the topic, this moment variation serves as an entire and useful advisor for office-based surgical procedure of varicose veins-providing quite a few illustrations showcasing the anatomy of varicose veins, in addition to step by step assurance of the ambulatory phlebectomy process.
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Extra resources for Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology)
We thought to be able since then to prove by reasoning and facts (the near cause of varicose veins) to consist of an inverted movement of blood in the great saphena, that causes gravity in the column up downward, from the center distally. ” On this basis, Rima performed excisions (41 cases) of few centimeters of the saphenous trunk above the knee to interrupt the blood column weighing down. Only two patients died in this series, which is an extraordinary result for those times when hospital infections were frequent, even in an epidemic form.
Apart from mapping integration with morphologic and hemodynamic details, when personally done (or supervised) by the phlebologist, duplex ultrasound allows a patient’s disease approach to be specific for that patients needs. When fully explored, the single subject may be submitted to one of the different current therapeutic choices appearing more appropriate in his case, as an integration of AP. Duplex ultrasound may be applied to phlebectomy in searching for deep placed venous tracts (eco-phlebectomy), especially at the thigh, where fatty tissue may hide the varicose vein.
Lectures illustrative of various Subjects in Pathology and Surgery: On Varicose Veins and Ulcers of the Legs. London: Longmans, 1846:157. Who Discovered Saphenous Vein Incontinence? xlv Rima T. Sulla causa prossima delle varici alle estremita` inferiori e sulla loro cura radicaleMemoria letta all’ateneo di Venezia 1836. Giornale per servire ai progressi della Patologia e della Materia Medica. fasc XIV pag 1 – 36; 1836. Rose. Historical development of varicose vein surgery. Page 128 – 129 In: Bergan JJ, Goldman MP.