Phlebolymphology N°93

Diagnosis and treatment of situational great saphenous vein reflux in daily medical practice

Yu. T. TSUKANOV, A. Yu. TSUKANOV, Department of Surgery and Urology, Omsk State Medical University, Omsk, Russia Abstract Aim: To analyze the treatments for situational great saphenous vein (GSV) reflux. Methods: Patients with chronic venous disease who were classified as C0s, C0,1s, and C2 (n=294) were analyzed using a day orthostatic load (DOL) test. Situational GSV reflux occurred in 78 patients. The patients classified as C0s and C0,1s (group 1; n=46) and the patients with reflux still present after surgery on varicose tributaries (group 3; n=10) received micronized purified flavonoid fraction (MPFF) 1000 mg daily for 90 days. Patients classified…

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How to manage complications after sclerotherapy

Lourdes REINA Head of the Department of Vascular Surgery, Hospital Central de la Cruz Roja, Madrid, Spain Abstract Sclerotherapy is an effective and safe treatment when used by trained and careful hands. Good technique, satisfactory imaging, general precautions, and compliance with post treatment instructions may help avoid some of the adverse events. Even though complications can happen even to the most experienced practitioner, it is mandatory to know what they are and how to manage them. Fortunately, most of these adverse events are benign, but physicians must be aware of the potential serious events, and they should be trained to…

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Prevention and treatment of venous disorders during pregnancy and the postpartum period

Djordje RADAK1,2,3; Slobodan TANASKOVIC1,2 University Hospitals Leuven, Belgium Abstract Chronic venous disease represents one of the most frequent medical conditions that could be observed in the general population. Pregnancy is one of the major predisposing factors for developing venous insufficiency due to an enlarged gravid uterus, which obstructs pelvic venous outflow, and an increase in hormone secretion, which weakens the vein wall. A clinical examination and Doppler ultrasound evaluation are used to diagnose venous insufficiency during pregnancy; these clinical findings can vary from insignificant telangiectases to severe varicose veins and skin damage. The relative risk of a venous thromboembolism (VTE)…

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New diagnostic modalities in lymphedema

Sarah THOMIS University Hospitals Leuven, Belgium Abstract Introduction: Lymphedema is a chronic, progressive, and debilitating disease. An early and accurate diagnosis and treatment is very important to alter the normal progression of the disease. When lymphedema is diagnosed late, the options for treatment are diminished as fibrous tissue is formed. Until recently, lymphoscintigraphy was considered the gold-standard diagnostic technique; however, other new and renewed diagnostic tools have emerged. This article provides an overview of the available diagnostic tools based on the findings from a literature search. Methods: A literature search for each of the diagnostic tools was performed. Results: Diagnostic…

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Small saphenous vein interventional treatment

Jean-Luc GERARD Vascular medicine, CHU Henri Mondor Hospital, Paris XII University, Créteil, France Abstract Evidence-based medicine can provide some clues about options for treating varicose veins, but there is no consensus on the best option. Even though the majority of practitioners have discarded several of the newer techniques available after having used them, they can nonetheless remain good options for others. However, the best procedure would be easily reproducible by the majority and for the majority. The adoption of these new and less invasive techniques, such as chemical ablation (foam sclerotherapy) and endovenous thermal ablation, could allow for treatment at…

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Phlebolymphology N°93 – Editorial

Dear Readers, In this new issue of Phlebolymphology, Jean-Luc Gerard (France) reviews the interventional treatment methods for the small saphenous vein, which must be carried out very carefully because the vein ending is variable and it is in close proximity to the nerves. He also shares his personal experience with endovenous laser ablation, while providing clear recommendations for the optimal outcome. Sclerotherapy is an effective and safe treatment when used by trained and careful hands; however, complications can happen even to the most experienced practitioner. Lourdes Reina (Spain) focuses on the possible minor and major complications after sclerotherapy and discusses…

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Phlebolymphology N°93 (Vol 24 – N°3 – 2017)

EDITORIAL Editorial PHLEBOLOGY Small saphenous vein interventional treatment Jean-Luc GERARD (France) Phlebolymphology – 2017 ; 24 (3): 119 How to manage complications after sclerotherapy Lourdes REINA, (Spain) Phlebolymphology – 2017 ; 24 (3): 130 Diagnosis and treatment of situational great saphenous vein reflux in daily medical practice Yu. T. TSUKANOV, A. Yu. TSUKANOV (Russia) Phlebolymphology – 2017 ; 24 (3): 144 New diagnostic modalities in lymphedema Sarah THOMIS (Belgium) Phlebolymphology – 2017 ; 24 (3): 152 Prevention and treatment of venous disorders during pregnancy and the postpartum period Djordje RADAK, Slobodan TANASKOVIC (Serbia) Phlebolymphology – 2017 ; 24 (3): 160

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