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

By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci

The one textual content particularly dedicated to the topic, this moment version serves as a whole and functional consultant for office-based surgical procedure of varicose veins-providing quite a few illustrations showcasing the anatomy of varicose veins, in addition to step by step assurance of the ambulatory phlebectomy approach.

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This anatomical variability corresponds to a clinical one, which is even more variable. This is because of superficial collateral veins (CVs) being involved in varicose disease more often than saphenous veins. Despite the opinion that varicose veins constitute a “saphenous” system disease, they are not. In a series of 279 limbs with PVVs, 56% proved to be collaterals. 2) (4). Similar findings have been reported by others (6). 1 9 Number and Type of Different Varicose Veins No. of veins Percentage of total Saphenous trunks (GSV and SSV) Named collaterals (ALV þ PMV þ ACV þ PAV) Unnamed collaterals 187 88 149 44 21 35 Total 424 100 Note: 49% of the limbs had varicose veins of one type only and 51% had a combination of more than one type.

Guy de Chauliac (1300– 1368) He was born in the Ge´vaudan region, he was Christian, he inspired to Albucasis. He recommended multiple serial incisions of varices, followed by cauterization or avulsion. These two great surgeons rediscovered the treatment described by Celsus, although ignoring it. Guy de Chauliac was a traveler. As an anecdote we remind the tremendous hate he was submitted to by the poet Petrarca (born in Arezzo in 1304), the first humanist of the renaissance. Guy de Chauliac really treated Laura from Noves, but could not cure her from pestis.

Hippocrates thought that the bad blood that “fed” the ulcer should be evacuated. Interestingly, a compressive bandage was applied and the patient was invited to immediate deambulation. On the magnificent marble exvoto found in a temple near Athens Partenos, in a medallion in the lower left side, we can observe the image of a malleolar ulcer ; in the middle there is an enormous leg, and on the right, the God Aesculap, slightly bigger than the leg, while palpating in the area of Boyd’s perforator the proximal end of a long and sinuous varicose vein, a longitudinal extra fascial tributary of the great saphenous vein.

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