Phlebolymphology N°47

Phlebolymphology N°47 (2004)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2004 PHLEBOLOGY Calf muscle pump dysfunction in the patients with severe chronic venous insufficiency M. SIMKA – Phlebolymphology – 2004; 299 Histopathology of great saphenous vein valves in primary venous insufficiency L. CORCOS, D. De ANNA, M. DINI, C. MACCHI, P. A. FERRARI, S. DINI – Phlebolymphology – 2004; 304 Wound healing assessment P. HUMBERT, S. MEAUME, T. GHARBI – Phlebolymphology – 2004; 312 REVIEW The role of MPFF at a dose of 500 mg in the treatment of symptomatic patients with varicose veins Phlebolymphology – 2004; 320 PHLEBOLOGY Lymphedema-angiodysplasia syndrome: a prodigal…

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Lymphedema-angiodysplasia syndrome: a prodigal form of lymphatic malformation

Byung-Boong LEE MD, PhD, FACS Sungkyunkwan University School of Medicine & Samsung Medical Center Seoul, Korea Clinical Professor, Johns Hopkins University School of Medicine ABSTRACT Primary lymphedema is a clinical outcome of lymphatic malformation (LM) following developmental arrest in the latter stage of embryogenesis, and known as the truncular (T) form. LM caused by developmental arrest in the earlier stage of lymphangiogenesis, often termed cystic/cavernous lymphangioma, is referred to as the extratruncular (ET) form. Primary lymphedema has been managed as a chronic lymphedema together with secondary lymphedema, although its etiopathophysiology is entirely different from that of secondary lymphedema. However, lately…

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The role of MPFF at a dose of 500 mg in the treatment of symptomatic patients with varicose veins

One of several theories put forward as a possible cause of varicose veins (VV) is primary valve dysfunction, which can be congenital or acquired. The role of inflammation in acquired valve dysfunction is predominant and could possibly explain varicose vein etiology.1 THE ROLE OF VARICOSE VEINS IN THE EVOLUTION OF CHRONIC VENOUS DISEASE Varicose disease represents the C2 class in the CEAP classification.2 Varicose disease is not the cause of severe morbidity per se (indeed some have seen VV as a simple cosmetic problem). Nevertheless, the complications varicose veins may cause are mainly inflammatory. This may lead to superficial thrombophlebitis…

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Wound healing assessment

Philippe HUMBERT Sylvie MEAUNE Tijani GHARBI Hôpital St Jacques, Besançon, France Reproduced and adapted from Agache P, Humbert P, eds. Measuring the Skin. Berlin : Springer; 2004. with authorization from Springer ABSTRACT Evaluation of healing requires the qualitative and quantitative analysis of chronic ulcers and wounds. The assessment of ulcers has been commonly based on the measurement of the perimeter or the surface of the wound. Nevertheless, the measurement of the volume and the color of a chronic wound is also an important step in its follow-up over time. Quantitative methods which permit the wound healing rate assessment are essential…

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Histopathology of great saphenous vein valves in primary venous insufficiency

Leonardo CORCOS University of Udine (Postgraduate School of Vascular Surgery), Italy Dino DE ANNA Department of General Surgery, University of Udine, Italy Mario DINI Department of Plastic Surgery, University of Florence, Italy Claudio MACCHI Department of Normal Human Anatomy, University of Florence, Italy Pier Antonio FERRARI Statistical Department of Crinos Pharmaceutics, Italy Sergio DINI Department of Morbid Anatomy and Histology, University of Florence, Italy ABSTRACT Objective: To verify some of the previous findings of venous valves described in the literature, their pathophysiological significance, and the clinical implications. Materials and methods: The elementary components of 65 proximal valves of the great…

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Calf muscle pump dysfunction in the patients with severe chronic venous insufficiency

Marian SIMKA Department of Angiology, Pszczyna, Poland ABSTRACT Severe chronic venous insufficiency is often caused by calf muscle pump failure. Proper outflow of venous blood from the lower extremities depends on three factors: vein patency, competence of valves, and proper calf muscle function. All disturbances in these three components result in venous hypertension and chronic venous insufficiency. Failure of the muscle pump seems to be the most under-estimated pathophysiological factor, as Doppler sonography and phlebography cannot assess its function. To assess calf muscle pump function in patients with venous leg ulcers, 59 legs were examined by means of air plethysmography….

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Phlebolymphology 47 – Editorial

This issue of Phlebolymphology contains many interesting articles, which will stimulate discussion. Everyone dealing with practical phlebology will be convinced that, in patients with chronic venous disease, the insufficiency of the venous pump is caused not only by valvular damage and hindrances to venous backflow, but also by muscular dysfunction. However, it is not easy to differentiate these components by clinical testing. There are published data showing that a restriction of ankle movement, which is a frequent sequel of painful leg ulcers, leads to a reduction of the venous pumping capacity. Muscles that are not trained will become atrophic and…

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