Comparative Analysis of Venous Haemodynamic Parameters in Patients Undergoing Surgery due to Long Saphenous Vein Insufficiency

1995 ◽  
pp. 154-156
Author(s):  
D. Czaczka ◽  
K. Twardowska-Saucha ◽  
Z. Wygoda ◽  
J. Kuleszynski
1986 ◽  
Vol 1 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Peter Neglén ◽  
Eibert Einarsson ◽  
Bo Eklöf

The long-term results after treatment of primary varicose veins with a combination of compression sclerotherapy (CST) and high tie of the incompetent long saphenous vein were studied. Sixty-three legs in 60 patients were operated on. Subjective (by the patient), objective (by the surgeon) and functional (by foot volumetry) assessments were performed just after treatment, 6 months and 1, 3 and 5 years later. The immediate subjective results were excellent but objectively 21% of the patients still had residual varicosities. After 5 years 50% were subjectively well but only 16% of the legs were objectively cured. Among the foot volumetric parameters the expelled volume (EV; ml) and refilling flow/relative expelled volume ratio (Q/EVrel; min−1) best reflected the functional state. Mean EV increase was 56% after treatment but only 16% after 5 years. Q/EVrel normalized initially but deteriorated after 1 year. No significant improvement in any parameter was observed after 5 years. CST combined with high tie cannot replace surgery in patients with main stem insufficiency. The results emphasize the importance in following these patients for at least 5 years. On the whole, functional evaluation with foot volumetry was valuable to assess groups but could not replace the examination of individual patients.


2021 ◽  
pp. 153857442110171
Author(s):  
Amy M. Walter ◽  
Murray M. Flett ◽  
John Nagy ◽  
Stuart A. Suttie ◽  
Andrew Dalton ◽  
...  

Carotid artery aneurysms account for 4% of peripheral aneurysms and may present as a neck mass, with hemispheric ischaemic symptoms, or with symptoms secondary to local compression. This case explores the presentation, investigations and management of a presumed mycotic common carotid artery aneurysm in a 77-year-old male, which was repaired using end-to-end interposition vein graft using long saphenous vein. This report discusses the aetiology, presentation and surgical management for carotid artery aneurysms, as well as focusing on that of the rare mycotic carotid artery aneurysm.


2002 ◽  
Vol 35 (6) ◽  
pp. 1197-1203 ◽  
Author(s):  
R.K. MacKenzie ◽  
A. Paisley ◽  
P.L. Allan ◽  
A.J. Lee ◽  
C.V. Ruckley ◽  
...  

2011 ◽  
Vol 26 (8) ◽  
pp. 361-365 ◽  
Author(s):  
K Sippel ◽  
D Mayer ◽  
B Ballmer ◽  
G Dragieva ◽  
S Läuchli ◽  
...  

A clinical model to examine the hypothesis that venous hypertension of the lower leg per se can cause lower leg stasis dermatitis is described. To prove this concept, we retrospectively studied a consecutive series of 38 patients with lower leg dermatitis who underwent phlebological examination at our consultation over a period of four years. Among those patients who had an insufficiency of the superficial veins only, without insufficiency of the deep veins, 22 had undergone patch testing to common allergens in phlebology. We found 10 patients with a stasis dermatitis of the lower leg and an incompetent great saphenous vein, six of whom had no detectable contact sensitization at all and another four exclusively to phlebologically irrelevant substances, e.g. nickel, cobalt, chromate or epoxid resin. All these 10 patients showed long saphenous vein incompetence from the groin to the medial aspect of the leg. All were operated by classical flush ligation and saphenectomy. Lower leg dermatitis healed in all 10 patients within 8–12 weeks and no recurrence was observed (1 year follow-up). These results support clinical experience that venous hypertension alone indeed can cause lower leg dermatitis.


2009 ◽  
Vol 24 (1) ◽  
pp. 43-45 ◽  
Author(s):  
N C Hickey ◽  
K Cooper

A surgical care practitioner (SCP) completed a structured training programme to perform all aspects of varicose vein surgery including sapheno-femoral disconnection and long saphenous vein stripping. Over a four-year period, she performed 152 groin procedures, closed 191 groin wounds and undertook phlebectomies on 91 legs with excellent results. A SCP can be used to improve theatre utilization and efficiency with no obvious drawbacks.


1981 ◽  
Vol 68 (11) ◽  
pp. 825-826
Author(s):  
W. B. Campbell ◽  
S. R. Munn ◽  
J. B. Morton ◽  
W. A. A. G. Macbeth ◽  
A. Macleish

Sign in / Sign up

Export Citation Format

Share Document