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A Cornu-Thenard

Publications and source records attributed to A Cornu-Thenard.

9 recordsLinked to original sources
PubMed1995

Sclerotherapy. Continuous wave Doppler-guided injections.

BACKGROUND: The usual method of injection of sclerosing agents is based simply on clinical recognition and visualization of the varicose vein. OBJECTIVE: The authors present an original technique for sclerosing injections, named Doppler sclerotherapy. The purpose is to allow more accurate sclerotherapy in situations where varicose veins (usually greater than 4-5 mm) are not palpable in the supine position, but palpable when standing. METHODS: This technique consists of injecting the sclerosing agent using an uncomplicated continuous wave Doppler, a syringe, and a needle, according to a method consisting of four well-defined steps ensuring avoidance of arterial vessels and constant appreciation of the varicose vein to be treated, even during the injection. It requires no assistants and allows the treating physician's gaze to remain at the injection site while listening for very specific Doppler sounds of aspiration and injection. RESULTS: In our multicenter study of 220 patients (approximately 1,400 injections) all but 18 injections were successful for intravascular localization. No serious complications were noted. CONCLUSIONS: The principal indication is the treatment of varicose veins that are palpable while standing but impalpable in the supine position. In addition varicose veins in the groin region, lower third of the thigh, and along the axis of the small saphenous vein may be treated with this technique. In these situations it is a more accessible, faster, and economical technique, although it does not replace duplex ultrasound-guided injections.

Clinical Protocols↗
PubMed1994

Importance of the familial factor in varicose disease. Clinical study of 134 families.

BACKGROUND: The role of heredity in the development of varicose veins of the lower limbs has been raised many times in the literature. When evaluating this role, most authors only question the patients, without examining their relatives. As shown in other papers, the subjectivity of this type of data throws doubt on the results. OBJECTIVE: This problem was evaluated by means of a prospective study based on clinical examination of all immediate family members. METHODS: In the case-control study, the female or male patients had to satisfy the following criteria: 1. Varicose veins in their legs. 2. Age between 30 and 40 years (meaning that, in most cases, their parents were still alive). 3. No history of deep vein thrombosis. To limit the influence of certain confusing factors (diet, life-style), the control group was composed of the patients' spouses, who were not suffering from varicose veins. The parents of the cases and the parents of the controls were also examined. For each case-control couple and for the four parents, we recorded the history of venous disease, the life-style, and the results of clinical examination, including the results of palpation and percussion of the various varicose vein territories. RESULTS: One hundred and thirty-four families were examined: 67 patients and their parents and 67 controls and their parents. A total of 402 subjects were examined. The results demonstrated a prominent role of heredity in the development of varicose veins (P < .001). The risk of developing varicose veins for the children was 90% when both parents suffered from this disease, 25% for males and 62% for females when one parent was affected, and 20% when neither parent was affected.

Adult↗
PubMedDate not supplied

[A swollen, febrile leg].

The authors report the case of a young man, of Algerian origin, with edema of the right lower limb accompanied by an inflammatory syndrome present for several months. This symptomatology, clinically suggestive of a deep venus thrombosis, but not confirmed by sonography, proved to be due in fact to pulmonary tuberculosis with septicemic spread to the muscle masses of the right calf. The diagnosis was made by direct paracentesis of the right calf. It is important to remember that pulmonary tuberculosis with septicemic spread to muscle masses but without bone lesions remains rare. The special interest of this case thus concerns its tuberculous etiology and clinical similarity to a deep venous thrombosis. Nevertheless, the diagnosis should have been eliminated earlier in view of the clinical course and worsening of systemic manifestations.

Adult↗
PubMedDate not supplied

[Leg ulcers in the obese: data from the literature].

The authors survey 131 publications on the epidemiology of leg ulcers in the obese patient, by successively interrogating computer data banks. By analysing this information they aim to determine the frequency of obesity in a population of patients with stasic ulcers, to see whether the ulcer has particular clinical characteristics in the obese patient, and finally, to know whether obesity affects the speed with which the ulcer heals. The results are given and assessed.

Humans↗
PubMedDate not supplied

[Leg ulcers of venous origin. Rate of basic healing. Practical consequences].

The formula necessary for this study includes seven points of which the most important is the measurement of the reduction of the surface area of each ulcer. 100 leg ulcers, venous in origin, and representing a total surface area of 2.052 cm2, healed at varying speeds, directly proportionate to their initial surface area. To each surface area of ulcer there corresponds a length of time of half the cicatrization, equalling or less than thirty days which makes it possible to establish a point of reference in the development of cicatrization, and therefore a basic short-term prognosis. Once this time has passed, the diagnosis and the treatment are again the issue, with all that involves.

Humans↗