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PubMed · 10491065

Pitfalls in ambulatory phlebectomy.

J A Olivencia
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Abstract

BACKGROUND: Pitfalls, precautions, and technical maneuvers concerning ambulatory phlebectomy are presented in order to facilitate the execution of this procedure. OBJECTIVE: The objective of this article is to underline certain pitfalls and precautions in the performance of ambulatory phlebectomy in order to minimized morbidity and procure satisfactory results. METHODS: The author has principally used his experience in more than 4,000 ambulatory phlebectomies as the basis for this study. RESULTS: The pitfalls and precautions concerning patient selection, operative technique, wound care, and the postoperative compressive dressing are discussed. CONCLUSION: It is concluded that ambulatory phlebectomy can be performed with minimal complications and will provide a pleasing experience for both the patient and surgeon if certain pitfalls are avoided and precautions are heeded.

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Ambulatory Surgical ProceduresHumansPostoperative CarePostoperative ComplicationsVaricose VeinsVascular Surgical ProceduresVeinsJournal Article

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BibTeXRIS

J A Olivencia. 1999. Pitfalls in ambulatory phlebectomy.. https://doi.org/10.1046/j.1524-4725.1999.99068.x

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The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

Ambulatory Surgical Procedures↗