Biomedical subjects

I Constancias-Dortu

Publications and source records attributed to I Constancias-Dortu.

4 recordsLinked to original sources

PubMed1997

[Treatment of varicose veins of the lower limbs by ambulatory phlebectomy (Muller's method): technique, indications and results].

Ambulatory phlebectomy, first described by R. Muller in 1996, is now considered to be one of the major treatments of varicose veins, either alone or in combination with surgery and sclerotherapy. The first objective of this article is to recall the technique of ambulatory phlebectomy. The second objective is to specify the indications of this method based on the results of a prospective study started 5 years ago. In 1992, we performed 897 successive ambulatory phlebectomies. Inclusion criteria in this study were based on clinical findings and pulsed Doppler ultrasound. Patients were reviewed after one month, six months, then annually until 1996 (clinical examination and pulsed Doppler ultrasound). The results of the technique were analysed as a function of the varicose territory treated. In conclusion, ambulatory phlebectomy has traditional indications (non-saphenous varicose veins, varicose veins of the foot, external pudendal varicose veins). Ambulatory phlebectomy can also be used as treatment for saphenous varicose veins when the saphenofemoral junction is continent or absent or when the saphenous termination is simple.

Adult↗

PubMedDate not supplied

[Indications for ambulatory phlebectomy].

The indications of Out-Patient Phlebectomy have been defined and confirmed. These indications are multiple and cover broad range. Anatomical indications concerning the lower limb essentially concern: primary varicose veins, residual varicose veins after surgery, varicosities affecting long or collateral veins, systems at the top of the thigh or in the popliteal fossa, varicose veins of the foot. Indications concerning the upper limb, abdomen and face must be carefully weighed. In a context of post-phlebitis, meticulous analysis of hemodynamics and careful monitoring are required. Superficial thrombophlebitis is a good indication for out-patient phlebotomy. Decisions concerning esthetic indications must be based upon a certain number of criteria: informed consent of the patient, assessment of general risk factors, assessment of esthetic risk factors.

Ambulatory Surgical Procedures↗

PubMedDate not supplied

[Clinical anatomy of collateral varicose veins (essential varicose veins of the legs)].

Performance of ambulatory phlebectomies has greatly enhanced the anatomo-clinical description of collateral varicosities (CV), permitting a better understanding of their physio-pathological role, and acknowledging, in some instances, their true autonomy. Physio-pathological role:--Reflux transfer--The function of CV is not limited to a mere acknowledgment (vector function) of the refluxes from the long pathological axes on which they branch. This function also consists in ensuring the diversion (transfer function) from one territory to another.--Pathology transfer--This reflux transfer is sometimes accompanied with a pathology transfer in the new territory (pathology steals). Anatomo-clinical description:--Supra-limb collaterals--These are CV with a parieto-abdominal course and pelvic CV, developed below the origin of the limb.--Proximity collaterals--These are "ladder-shaped" collaterals with oblique bars!, uniting adjacent long axes.--Inter-axial collaterals--These are crural, tibial of cruro-tibial CV, uniting distant long axes and providing junctions between medial and lateral saphenous veins, lateral and medial saphenous veins, saphenous veins-peroneal axis... Situations of autonomy: Independence regarding long axes, is demonstrated by the autonomous nature of the original reflux and affects, more especially: the antero-lateral crural slings, the lateral pudental vessels, the popliteal veins. The treatment of collateral varicosities involves surgery, ambulatory phlebectomy, sclerosis with could be implemented separately or concomitantly.

Collateral Circulation↗

PubMedDate not supplied

[Therapeutic indications in ambulatory phlebectomy].

Anatomically, the indications of ambulatory phlebectomy (A.P.) concern the entire varicose network of the lower extremities. The presence of a complication in the course of varicose veins disease (ulcer, hypodermatitis, or post-phlebitic varices) is not a contra-indication to A.P. The aims are: complete eradication of the varices, stability of the long-term result, harmless nature of the treatment and the aesthetic quality of the result.

Ambulatory Surgical Procedures↗