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PubMed · 1440446

[Ambulatory phlebectomy].

R Muller
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Abstract

Ambulatory phlebectomy has been done already in Greek and Roman times. It was since forgotten for many centuries, but it has been revived by Müller in 1956. Ambulatory phlebectomy is one of the most rewarding instances of ambulatory surgery. It consists of the comprehensive extraction of the varices through extremely small stab incisions, followed immediately by vigorous marching. It calls for team work: The surgeon performs the high ligation and stripping of the proximal third of the greater saphenous vein, and the phlebologist removes all the other varices. And it is an almost ideal treatment, as it provides efficiency as well as excellent cosmetic results at low costs and is also harmless.

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Ambulatory Surgical ProceduresHumansPatient Care TeamRecurrenceSaphenous VeinVaricose VeinsEnglish AbstractJournal Article

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R Muller. 1992. [Ambulatory phlebectomy].. https://pubmed.ncbi.nlm.nih.gov/1440446/

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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↗