Phlebolymphology N°48

Phlebolymphology N°48 (2005)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2005 PHLEBOLOGY Endovenous treatment of lower-limb varices by laser and radiofrequency M. PERRIN – Phlebolymphology – 2005; 337 Saphenopliteal junctions are significantly lower when incompetent. Embryological hypothesis and surgical implications D. CRETON – Phlebolymphology – 2005; 347 Patient compliance with venous leg ulcer treatment N. FASSIADIS – Phlebolymphology – 2005; 355 REVIEW Benefit of MPFF at a dose of 500 mg in chronic venous disease-related symptoms Phlebolymphology – 2005; 359 LYMPHOLOGY Histochemical insight into lymphangiogenesis and lymphatic regeneration S. KATO – Phlebolymphology – 2005; 365

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Histochemical insight into lymphangiogenesis

Seiji KATO Faculty of Medicine, Oita University Oita – Japan SUMMARY The lymphatic vascular system consists of a network of thin-walled vessels, and it plays an important role in transportation of extravasated fluid and macromolecules from tissues back to blood circulation, as well as in many pathological processes, including tumor metastasis and lymphedema. The structural organization and fine distribution of lymphatic vessels in the tissues are very important in the pathophysiology of a variety of microcirculatory disorders, infectious diseases, and cancer. The lymphatic system develops through a process known as lymphatic development (lymphangiogenesis). However, studies of the lymphangiogenesis of the…

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Benefit of MPFF at a dose of 500 mg in chronic venous disease-related symptoms

Françoise PITSCH Servier International Paris – France INTRODUCTION According to the literature,1 chronic venous disease (CVD) includes patients who present with so-called symptoms and/or signs of venous disease which characterize each class of chronic venous disease in the CEAP (Clinical, Etiological, Anatomical, and Pathophysioloical) classification,2 from class C0 to class C6. The symptoms traditionally ascribed to chronic venous disease include aching, heaviness, a feeling of swelling, cramps, itching, tingling, and restless legs. These symptoms are nonspecific, and the relationship between symptoms and particular signs or stages of chronic venous disease according to the severity is controversial. In the Edinburgh Vein…

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Patient compliance with venous leg ulcer treatment

Nicholas FASSIADIS Specialist Registrar in General and Vascular Surgery Department of General and Vascular Surgery Darent Valley Hospital Kent – UK SUMMARY Lower-limb venous ulceration is a common affliction, affecting particularly the elderly population, which significantly reduces quality of life. Compression treatment, in the form of hosiery, bandaging, or intermittent pneumatic compression devices (IPC) is regarded as standard in the management of venous leg ulceration (VLU). This article reviews the literature on patient compliance with such compression modalities, a factor often not paid much attention to clinical practice. INTRODUCTION Chronic lower-limb ulceration affects approximately 1% of the population.1,2 The majority…

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Saphenopopliteal junctions are significantly lower when incompetent. Embryological hypothesis and surgical implications

Denis CRETON EC Ambroise Paré Nancy – France SUMMARY The aim of this study was to compare the levels of the small saphenous junction with deep veins in a control group versus a group of patients with insufficient short saphenous junctions. A comparative meta-analysis of the data from 15 series shows that the incompetent junctions were significantly lower in the control group. The comparison with anatomy and embryology shows that the functional and phylogenetic regression of the small saphenous vein might correspond to its embryologic regression. This embryologic regression is associated with a progressive descent of the anastomosis in the…

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Endovenous treatment of lower-limb varices by laser and radiofrequency

Michel PERRIN Vascular Surgery Chassieu – France SUMMARY Endovenous treatment of varicose veins is an old technique, but new procedures using both radiofrequency and laser have markedly revived interest in it. In effect, the thermal energy these procedures generate and deliver to the venous wall results in vein wall fibrotic retraction and its subsequent occlusion. Details are given on the material and techniques used, including the difficulties, incidents, and accidents that can be encountered during the procedure. The indications and contraindications concerning endovenous treatment of varicose veins are still debatable. Assessment of results remains difficult, particularly in laser procedures, since…

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Phlebolymphology N° 48 – Editorial

This issue of Phlebolymphology will provide you with much information that is not readily available elsewhere. Were you aware that an incompetent small saphenous vein with centrifugal reflux is only rarely associated with a high junction above the popliteal fossa? One has to admit that this fact has considerable practical consequences with regard to surgery. Do you know why most high junctions are competent, or sometimes show centripetal reflux? You will find out when you study the comprehensive article by Denis Creton. I am sure that you have already heard about the new catheter techniques utilizing radiofrequency or various laser…

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