Phlebolymphology N°45

Phlebolymphology N°45 (2004)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2004 PHLEBOLOGY Subdiaphragmatic venous insufficiency J. LEAL MONEDERO, S. ZUBICOA EZPELETA, M. GRIMBERG, L. VERGARA CORREA, A. JIMÉNEZ GUTIÉRREZ – Phlebolymphology – 2004; 269 Rationale for surgery in the treatment of venous ulcer of the leg M. PERRIN – Phlebolymphology – 2004; 276 REVIEW MPFF at a dose of 500 mg in the management of acute and recurrent hemorrhoidal disease Phlebolymphology – 2004; 284 PHLEBOLOGY The evolution of endovenous radiofrequency ablation (VNUS Closure) of varicose veins N. FASSIADIS, A. THEODORIDES – Phlebolymphology – 2004; 285 Variants of functional venous disease C. ALLEGRA, A….

Full text

Variants of functional venous disease

Claudio ALLEGRA Anita CARLIZZA Department of Angiology, San Giovanni Hospital, Rome, Italy SUMMARY In the continuing absence of a consensus definition, functional venous disease (FVD) can be described as encompassing any situation in which, over time, hemodynamic changes in venous drainage transform the risk factors for varicose veins into overt disease. The condition includes patients with primary varicose veins. This description is consistent with epidemiological evidence of incipient reflux, and encompasses functional chronic venous insufficiency (CVI) due to extravenous causes, also described as the functional phase of the prevaricose syndrome. In addition, it includes the syndrome of constitutional functional venous…

Full text

The evolution of endovenous radiofrequency ablation (VNUS Closure) of varicose veins

Nicholas FASSIADIS Specialist Registrar Maidstone Hospital Department of General and Vascular Surgery Kent -UK Anthony THEODORIDES, MD Junior House Officer Ealing Hospital Department of General and Vascular Surgery- Middlesex – UK ABSTRACT Extraluminal and intraluminal devices using monopolar energy have been utilized in the past to treat varicose veins. This report describes the development of these minimally invasive electrosurgical techniques. Saphenous nerve injury, full-thickness skin burns, and high recurrence rates were the usual complications after such procedures. Radiofrequency ablation (VNUS Closure) is a new endovenous computer-feedback controlled application of bipolar electrothermal energy which reduces thermal spread to neighbouring tissues, thus…

Full text

MPFF at a dose of 500 mg in the management of acute and recurrent hemorrhoidal disease

GOOD PRACTICES IN HEMORRHOID TREATMENT Hemorrhoidal illness represents one of the most common medical conditions in man. The most recent statistics indicate a prevalence of about 25% in the adult population, and higher than 50% for those older than 50. However, the prevalence and incidence are most probably higher, considering the fact that, in certain patients, the illness begins in an asymptomatic fashion. The origin of hemorrhoidal disease can be either mechanical or vascular (hemodynamic): According to mechanical theory, the supportive structure of the hemorrhoidal plexus undergoes spontaneous involution which includes excessive laxity and leads to displacement of the internal…

Full text

Rationale for surgery in the treatment of venous ulcer of the leg

Michel PERRIN Chassieu, France SUMMARY Venous ulcer of the leg is the most severe clinical presentation of chronic venous insufficiency. The aim of this article is to review the disease in terms of evidence-based medicine in order to determine the potential of surgery as a component of efficient treatment. OVERVIEW In leg ulcer, the venous etiology is more frequent than an arterial, combined (arterial and venous) or nonvascular etiology. A venous etiology accounts for 70% to 80% of cases, depending on whether or not combined ulcers are included. A venous ulcer (VU) of the leg may be defined as a…

Full text

Subdiaphragmatic venous insufficiency – Embolization treatment using mixed technique

J. LEAL MONEDERO, S. ZUBICOA EZPELETA, M. GRIMBERG, L. VERGARA CORREA, J. A. JIMÉNEZ GUTIÉRREZ Ruber International Hospital Madrid-Spain SUMMARY Results are given for treatment administered to 2491 patients with recurrent varicose veins who were cared for in our unit from 1995 to 2003: 64.44% of the recurrences were bilateral and 35.56% unilateral. The average age was 53. These patients were divided into two groups according to the material used for embolization. The first group of 1500 patients were treated from 1995 to 1999, and 58.3% underwent selective pelvic phlebography. Of these, 80.9% underwent embolization using coils, by which 82%…

Full text

Phlebolymphology 45 – Editorial

Saint Peregrine is the patron saint of the venous ulcer. The biography of this medieval monk reports that he developed large varicose veins because he refrained from lying down as a kind of penance. The veins became so large that the leg became ulcerated. This is the classical description of varicose vein ulceration. Only since we have been using Duplex to investigate our ulcer patients on a regular basis have we are becoming aware of the fact that at least 50% of patients have superficial reflux, many of them without extensive visible varicose veins. At least those without concomitant deep…

Full text