Phlebolymphology N°64

Phlebolymphology N°64 (Vol 16 – N°3 – 2009)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2009 ; 16(3): 276 PHLEBOLOGY Investigations in postthrombotic syndrome according to clinical status M. Perrin – Phlebolymphology – 2009; 16 (3): 277 Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedem – hints for physiotherapy W. L. Olszewski – Phlebolymphology – 2009; 16 (3): 283 Chronic pelvic pain associated with pelvic congestion syndrome and the benefit of MPFF at a dose of 500 mg: a review O. Taskin – Phlebolymphology – 2009; 16 (3): 290 Duplex ultrasonography protocol for investigation of patients presenting with recurrent varicose…

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Phlebolymphology N°64 – Editorial

Dear Readers, Postthrombotic syndrome is a frequent and fascinating problem, which is still not fully understood. Severe clinical consequences, especially recalcitrant leg ulcers, are a considerable burden both for the patient and for the general health care budget. As Michel Perrin, Lyon, points out in his article, most patients with postthrombotic syndrome are treated conservatively, and duplex ultrasound is sufficient for diagnosis. However, in recent years various surgical and endoscopic techniques have been developed in specialized centers to improve deep venous hemodynamics, and this requires more detailed information before and after such procedures. The first article in this issue of…

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Duplex ultrasonography protocol for investigation of patients presenting with recurrent varicose veins after surgery

Jean-Luc GILLET Vascular Medicine – Phlebology France SUMMARY Duplex ultrasonography has become the investigation of reference in patients presenting with recurrent varicose veins after surgery. It consists of three methods of investigation: B-mode ultrasound, pulsed duplex ultrasound, and color duplex scanning. A complete investigation of the different venous systems is necessary: – the deep venous network, identifying any abnormalities that may be postthrombotic or a primary cause – the superficial venous network and the perforator veins, identifying the origin(s) of the deep vein reflux to the superficial venous network, and also performing a complete, anatomical, and hemodynamic evaluation of the…

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Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedema—hints for physiotherapy

Waldemar LOLSZEWSKI1,2,3 Pradeep JAIN4 Govinda AMBUJAM4 Marzanna ZALESKA1 Marta CAKALA1 1. Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland 2. Department of Gastrointestinal and Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs, Warsaw, Poland 3. Rikshospitalet / Norwegian Radium Hospital, Oslo, Norway 4. Indian Lymphology Centers, BHU Varanasi and TMC Thanjavur ABSTRACT Knowledge of the exact location of tissue fluid (TF) and stagnant lymph (L) in lymphedema is indispensable to rational physiotherapy and specifically defines where to apply external pressure and how much. We visualized the “TF&L” space in the skin and…

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Chronic pelvic pain associated with pelvic congestion syndrome and the benefit of MPFF at a dose of 500 mg: a review*

Feza BURAK1 Tonguc GUNDUZ2 Mehmet SIMSEK2 Omur TASKIN1,2 Departments of Obstetrics and Gynecology Ìnonu University 1, Malatya and Akdeniz University 2, Antalya School of Medicine * This review is based on the following publication: 1) Taskin O, Uryan I I, Buhur A, et al. The Effects of MPFF on Pelvic Pain in Women with Taylor Syndrome. J Am Assoc Gynecol Laparosc. 1996;3(4, Supplement):S49, and 2) Simsek M, Burak F, Taskin O. Effects of micronized purified flavonoid fraction on pelvic pain in women with laparoscopically diagnosed pelvic congestion syndrome: a randomized crossover trial. Clin Exp Obstet Gynecol. 2007;34(2):96-98. SUMMARY Chronic pelvic…

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Investigations in postthrombotic syndrome according to clinical status

Michel PERRIN Vascular Surgery, France INTRODUCTION Many angiologists and vascular surgeons consider that postthrombotic syndrome (PTS) should only be managed noninterventional treatment. Unaware of the real possibilities provided by operational treatment, they limit investigation to color duplex scanning (CDS), which in this perspective is logical and reasonable. Compression, drugs, and lifestyle recommendations do not call for level III investigation according to the CEAP classification.1 Conservative treatment as far as etiology is concerned relies mainly on the signs and symptoms, independently of the location, extension of anatomical lesions, and pathophysiological abnormality. Conversely, when surgical or endovenous treatment is considered, the CEAP…

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About new articles and books

Eklof B, Perrin M, Delis KT, Rutherford RB, Gloviczki P. the VEIN-Term Transatlantic Interdisciplinary Faculty: Updated terminology of chronic venous disorders: the VEIN-Term Transatlantic Interdisciplinary consensus document. J Vasc Surg. 2009;49:498-501. Reasons to draw up this consensus document were legion. In the past ten years, huge efforts have been made to standardize practices and terminology, with the publication of the universally adopted Clinical, Etiological, Anatomical, Pathophysiological (CEAP) classification1-3, together with vein nomenclature.4-5 Despite this, many terms still create problems of interpretation, highlighting the need for a common international scientific language in the investigation and management of chronic venous disorders (CVDs)….

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