Phlebolymphology N°72

Phebolymphology N°72 – Editorial

Dear Readers, In this issue of Phlebolymphology, Michel Perrin continues his beautifully illustrated survey of the history of venous surgery. In the last issue (Vol 18, No. 3, 2011), after having discussed terminology, anatomy, and physiology, he gave us a wonderful overview of the history of venous surgery from the ancient Egyptians to the 19th century. In the present issue, he continues with the 20th century, including all newly described methods, some of them still controversial. Both articles are real pearls, full of information that cannot be found anywhere else in this condensed form. Readers will certainly also enjoy the…

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History of venous surgery (2)

History of venous surgery (2) This is the second of the 3 chapters that make up a “History of Venous Surgery”. In the latest issue of Phlebolymphology (Vol. 18, No. 3, 2011), an overview from the ancient Egyptians to the 19th century was presented. In the present issue, the history continues with the 20th century. Michel PERRIN Vascular surgery, Lyon, France THE 20TH CENTURY By the 20th century, venous surgery was no longer limited to treatment of varicose veins and had gradually expanded to include management of other venous diseases and treatment of veins other than superficial ones. We will…

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Obliteration of Varicose Veins with Superheated Steam

Obliteration of Varicose Veins with Superheated Steam René MILLERET Vein Center Clinique Pasteur 3 Rue Pasteur – 34120 Pézenas – France INTRODUCTION Endovenous heating techniques have been in clinical use since 1999: longterm results are now available for both radiofrequency and endovenous laser.1 These results compare favorably with the gold standard: high ligation + stripping of the vein. Unfortunately, the cost of the equipment and disposable items necessary to implement these methods is still too high for many health systems in the world. The ideal technique would combine the advantages of currently used methods, and obviate their drawbacks. Heating the…

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Benefit of MPFF at a dose of 500 mg in combination with sclerotherapy of telangiectasias of the lower limbs: results from the SYNERGY and SATISFY surveys

Benefit of MPFF at a dose of 500 mg in combination with sclerotherapy of telangiectasias of the lower limbs: results from the SYNERGY and SATISFY surveys Françoise PITSCH Servier International Suresnes, France INTRODUCTION Telangiectasias are defined as a confluence of dilated intradermal venules less than 1 mm in caliber. Synonyms include spider veins, hyphen webs, and thread veins.1 Telangiectasias are common in adult populations. In the Basle study,2 telangiectasias were combined with varicose veins in 36% of men and 44% of women. In a study of 696 women working in a department store in Slovakia,3 46% of women were found…

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Where do lymph and tissue fluid flow during intermittent pneumatic massage of lower limbs with obstructive lymphedema?

Where do lymph and tissue fluid flow during intermittent pneumatic massage of lower limbs with obstructive lymphedema? Waldemar L. OLSZEWSKI1,4, Jaroslaw B. CWIKLA2, Marzanna ZALESKA1, Anna DOMASZEWSKA-SZOSTEK1, Tomasz GRADALSKI3, Sylwia SZOPINSKA1 1. Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland 2. Department of Radiology and Diagnostic Imaging, Medical Center for Postgraduate, Education and Central Clinical Hospital, Ministry of Internal Affairs & Administration, Warsaw, Poland 3. Lymphedema Clinic St Lazarus Hospice, Krakow, Poland 4. Department of Gastrointestinal and Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs, Warsaw, Poland Department of Nuclear Medicine, Central…

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Randomized controlled trials in the treatments of varicose veins

Randomized controlled trials in the treatments of varicose veins Bo EKLÖF Helsingborg – Sweden Michel PERRIN Vascular Surgery – Lyon, France PART 1 This is the first part of the 2 chapters about randomized controlled trials of treatments of varicose veins, either by open surgery or endovascular ablation. Although the American College of Chest Physicians Task Force took into account observational studies to establish the strength of recommendations according to the quality of the evidence,1 randomized controlled trials (RCTs) remain the most reliable source of evidence (Table I).1-6 Table 1. Grading Recommendations We have therefore analyzed RCTs on treatment of…

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Phlebolymphology N°72 (Vol 18 – N°4 – 2011)

EDITORIAL Editorial Hugo Partsch – Phlebolymphology – 2011 ; 18 (4): 166 PHLEBOLOGY History of venous surgery (2) Michel PERRIN – Phlebolymphology – 2011 ; 18 (4): 167 Obliteration of Varicose Veins with Superheated Steam René MILLERET – Phlebolymphology – 2011 ; 18 (4): 174 Benefit of MPFF at a dose of 500 mg in combination with sclerotherapy of telangiectasias of the lower limbs: results from the SYNERGY and SATISFY surveys F. Pitsch – Phlebolymphology – 2011 ; 18 (4): 182 Where do lymph and tissue fluid flow during intermittent pneumatic massage of lower limbs with obstructive lymphedema? Waldemar L….

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ABOUT MEETINGS, CONVENTIONS, BOOKS AND JOURNALS – Review by Michel PERRIN

Sclerotherapy. Treatment of Varicose and Telangiectatic Leg Veins. Goldman MP, Guex JJ, Weiss RA (eds) 5th edition. Saunders Elsevier. 2011. ISBN – 13: 9780323073677 First published in 1991, and republished in 1995, 2001, 2007, this book remains the backbone of our knowledge concerning sclerotherapy of chronic venous disorders. Divided into 15 chapters plus 8 appendices, this reference work of 401 pages covers not only sclerotherapy, but also anatomy (Stefano Ricci), surgery (Michel Perrin) and intravascular procedures (radiofrequency and lasers) for treating varicose veins, the use of compression (Hugo Partsch), venoactive drugs (Albert-Adrien Ramelet), and laser and high-density pulsed light treatment…

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