Download e-book for kindle: Ambulatory Phlebectomy, Second Edition (Basic and Clinical by Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci

By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci

ISBN-10: 0824759095

ISBN-13: 9780824759094

ISBN-10: 0849341000

ISBN-13: 9780849341007

The single textual content particularly dedicated to the topic, this moment variation serves as a whole and useful consultant for office-based surgical operation of varicose veins-providing various illustrations showcasing the anatomy of varicose veins, in addition to step by step assurance of the ambulatory phlebectomy method.

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Additional info for Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology)

Example text

Imaging. They are difficult to avulse by AP, and may be treated by alternative techniques as axial stripping or endovascular obliteration. Superficial venous anatomy should be considered in statistical terms, because all superficial veins have variants. In many cases, the variations are more frequent than the rule (3). Even the saphenous veins, which are anatomically better defined, are present in many variants. , more than one vein is found where one expects a single channel), and their junctions may vary in site (SPJ) and anatomy (SFJ and SPJ).

Surgeons are generally more concerned about the saphenous stem than about collaterals, whose demanding and boring avulsion is often impossible in a commonly busy operative session. Collateral varices, besides, may be treated subsequently by sclerotherapy. AP consequently had a prevailing diffusion up to those phlebologists who operate in an ambulatory setting and have limited surgical experience (dermatologists, angiologists), and up to those surgeons practicing phlebology, who operate by quality and economy (day surgery, short hospital stay).

In addition to these two “classical” junctions, superficial veins bypass the SFJ and drain into the iliac and caval veins via numerous anastomotic branches of the abdominal wall and the pudendal, perineal, and gluteal areas through abdominal and pelvic anastomoses. These branches are a potential source of “extrafemoral” reflux, which may fill the incompetent GSV and other varicose veins even when the SFJ is competent [Fig. 4(b) and (c)]. In addition to the aforementioned junctions and pelvic/abdominal anastomoses, superficial veins anastomize with deep veins through more than 140 perforating veins (PVs) distributed along the entire length of the limb (2).

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Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology) by Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci


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