Phlebolymphology N°74

Phebolymphology N°74 – Editorial

Dear Readers, This very special issue of Phlebolymphology contains review articles providing a wealth of information that is rarely found in textbooks or in journals. Much more than a look back at the historical developments of venous surgery, the third and last chapter of the “history of venous surgery” written by Michel Perrin is a comprehensive and beautifully illustrated article on the state of the art of modern venous surgery and its role in deep venous disease. The reader will surely sense that this subject is still very close to the heart of the author, who worked in this field…

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History of venous surgery (3)

This is the last of the 3 chapters that make up a “History of Venous Surgery.” In the previous issues of Phlebolymphology (Vol. 18, no. 3 and no. 4, 2011), an overview was presented of varicose vein surgery from the ancient Egyptians to the 20th century. In the present issue, the history continues with venous surgery other than varicose vein surgery. Michel PERRIN Vascular surgery, Lyon, France Venous surgery other than varicose vein surgery TREATMENT OF DEEP VEIN THROMBOSIS OF THE LOWER AND UPPER LIMBS DURING THE ACUTE PHASE. Lower limbs 1. Thrombectomy Thrombectomy is the resection of a blood…

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Factors to identify patients at risk for progression of chronic venous disease: have we progressed?

Mieke FLOUR MD, Dermatology Department, Univ. Hosp. Leuven, Belgium. SUMMARY This article will review the literature concerning the risk factors that identify C2, C3, C4 patients, according to the clinical, etiological, anatomical, pathophysiological (CEAP) classification, who are at risk for progression to C6. Evidence concerning the risk factors for progression of chronic venous disease (CVD) is weak. There are no known hemodynamic methods to identify which patient with primary CVD and limbs with C-class 2 to 4 will develop leg ulcers. Duplex ultrasound scanning parameters of interest would be the anatomic extent and distribution of reflux and obstruction, and the…

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Benefit of MPFF at a dose of 500 mg in the reduction of chronic venous disease–related symptoms.

Maja LENKOVIC Zrinka STANIC ZGOMBIC Teo MANESTAR BLAZIC Ines BRAJAC Darinka PERISA Rijeka, Croatia SUMMARY Background: Lower limb symptoms have frequently been associated with increased severity of venous disease. In clinical practice they are reported by patients at all stages of chronic venous disease. This study assessed the contribution of MPFF at a dose of 500 mg in improving venous symptoms and promoting venous ulcer healing in patients with primary chronic venous disease. Methods: Patients aged ≥18 years, with at least 3 symptoms (including pain, sensation of heaviness in the legs, sensation of swelling, and night cramps), assigned to clinical…

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Pelvic vein incompetence: a review of diagnosis and treatment

Giuseppe ASCIUTTO Vascular Center Malmö-Lund, Skåne University Hospital, Malmö, Sweden ABSTRACT Pelvic vein incompetence is often associated with typical clinical signs of congestion as well as pelvic pain. This clinical entity is often underestimated and patients suffering from pain related to pelvic varicosities undergo a long and inconclusive diagnostic workup before the exact cause of symptoms is recognized. Besides the typical chronic pelvic pain, signs such as vulvar varicosities are not always present. Because of the wide variation of clinical and radiological presentations, there is a general consensus that diagnostic and therapeutic approaches should be patient-tailored. To date, noninvasive diagnostic…

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Phlebolymphology N°74 (Vol 19 – N°2 – 2012)

EDITORIAL Editorial Hugo Partsch – Phlebolymphology – 2012 ; 19 (2): 58 PHLEBOLOGY History of venous surgery (3) Michel PERRIN – Phlebolymphology – 2012 ; 19 (2): 59 Factors to identify patients at risk for progression of chronic venous disease: have we progressed? Mieke FLOUR – Phlebolymphology – 2012 ; 19 (2): 68 Benefit of MPFF at a dose of 500 mg in the reduction of chronic venous disease–related symptoms Maja LENKOVIC et al. – Phlebolymphology – 2012 ; 19 (2): 79 Pelvic vein incompetence: a review of diagnosis and treatment Giuseppe ASCIUTTO – Phlebolymphology – 2012 ; 19 (2):…

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Randomized controlled trials in the treatment of varicose veins (2)

This is the second part of a review on randomized controlled trials of the treatment of varicose veins by open surgery or endovenous ablation. The first part of this review was published in Phlebolymphology. 2011;18:(4)196-207 Michel PERRIN Vascular Surgery Lyon, France Bo EKLÖF American Venous Forum Helsingborg, Sweden Randomized controlled trials (RCTs) remain the most reliable source of evidence.1 We have therefore analyzed RCTs of treatment of varicose veins published since 1990 and have classified them by topic and added a brief comment. We may, nevertheless, have missed some and apologize to any authors who have been overlooked. We successively…

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