Elastic compression for varicose vein surgery

Phlebologie ◽  
2007 ◽  
Vol 36 (06) ◽  
pp. 293-302
Author(s):  
R. Bisacci ◽  
C. Bisacci ◽  
V. Pagliuca ◽  
G. M. Spinelli ◽  
P. De Rango
Keyword(s):  
Clinical Practice ◽  
Cost Effectiveness ◽  
Varicose Vein ◽  
Practice Patterns ◽  
Operative Management ◽  
Varicose Vein Surgery ◽  
Elastic Compression ◽  
Venous Surgery ◽  
Before And After ◽  
Varicose Disease

SummaryIn daily clinical practice the elastic compression before and after varicose vein surgery is not standardized and there are no clear indications on techniques or materials to use, especially for uncomplicated varicose disease (i.e., absence of ulcers, lymphoedema). Aim of the study was to evaluate the current use of elastic compression for varicose vein in different vein surgical settings in Italy, and to compare Italian practice to the customary approaches used in other European countries. Methods: A national survey exploring pre-, intra and postoperative practice in varicose vein surgery was conducted among surgical departments throughout Italy. Results: The survey, involving practice patterns in 112 Italian venous Surgical departments (26,792 venous operations), showed that a large number of survey respondents ( 57/112), considered use of elastic compression as „non indispensable” in the preparation for varicose vein surgery, but all of them applied compression in the immediate post operative management and at discharge. However, techniques and materials employed for postoperative elastic compression were generally based on personal opinions and thereby, were largely dissimilar among centres. Conclusion: The use of elastic compression for varicose vein surgery is still applied with disparate modalities according with the individual’s experience. Efforts toward more uniformed and wide application of elastic compression need to be implemented. Standardization in the management for varicose venous surgery will reflect in better results also in terms of cost-effectiveness and patient care.

scholarly journals Adequate Pressure of Elastic Compression Stocking after Varicose Vein Surgery

2014 ◽  
Vol 25 (4) ◽  
pp. 381-385
Author(s):  
Natsuki Suzuki ◽  
Yasuaki Fujisawa ◽  
Hiroko Oguchi ◽  
Eiko Saito ◽  
Rie Ise
Keyword(s):  
Varicose Vein ◽  
Compression Stocking ◽  
Varicose Vein Surgery ◽  
Elastic Compression

scholarly journals Clinical practice patterns and cost effectiveness of human epidermal growth receptor 2 testing strategies in breast cancer patients

Cancer ◽  
2009 ◽  
Vol 115 (22) ◽  
pp. 5166-5174 ◽  
Author(s):  
Kathryn A. Phillips ◽  
Deborah A. Marshall ◽  
Jennifer S. Haas ◽  
Elena B. Elkin ◽  
Su-Ying Liang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Practice ◽  
Cost Effectiveness ◽  
Cancer Patients ◽  
Practice Patterns ◽  
Breast Cancer Patients ◽  
Clinical Practice Patterns ◽  
Testing Strategies ◽  
Epidermal Growth

Overview of Current Approaches to Aural Rehabilitation for Adults With Cochlear Implants

2020 ◽  
Vol 5 (5) ◽  
pp. 1175-1187
Author(s):  
Rachel Glade ◽  
Erin Taylor ◽  
Deborah S. Culbertson ◽  
Christin Ray
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Cochlear Implants ◽  
Practice Patterns ◽  
The United States ◽  
Care Providers ◽  
Aural Rehabilitation ◽  
Starting Point ◽  
Clinical Models ◽  
Hearing Health

Purpose This clinical focus article provides an overview of clinical models currently being used for the provision of comprehensive aural rehabilitation (AR) for adults with cochlear implants (CIs) in the Unites States. Method Clinical AR models utilized by hearing health care providers from nine clinics across the United States were discussed with regard to interprofessional AR practice patterns in the adult CI population. The clinical models were presented in the context of existing knowledge and gaps in the literature. Future directions were proposed for optimizing the provision of AR for the adult CI patient population. Findings/Conclusions There is a general agreement that AR is an integral part of hearing health care for adults with CIs. While the provision of AR is feasible in different clinical practice settings, service delivery models are variable across hearing health care professionals and settings. AR may include interprofessional collaboration among surgeons, audiologists, and speech-language pathologists with varying roles based on the characteristics of a particular setting. Despite various existing barriers, the clinical practice patterns identified here provide a starting point toward a more standard approach to comprehensive AR for adults with CIs.

Varicose vein surgery under anti-platelet therapy

Phlebologie ◽  
2008 ◽  
Vol 37 (06) ◽  
pp. 287-297 ◽  
Author(s):  
P.-M. Baier ◽  
Z. T. Miszczak
Keyword(s):  
Varicose Vein ◽  
Bleeding Time ◽  
Varicose Veins ◽  
Bleeding Risk ◽  
Bleeding Complications ◽  
Review Of The Literature ◽  
Varicose Vein Surgery ◽  
Anti Platelet Therapy ◽  
Male Patients ◽  
Acute Atherothrombosis

Summary Background: Platelet function inhibitors (PFI) are used for prophylaxis of atherothrombosis. These drugs cause a prolongation of the bleeding time and should eventually be stopped before an elective operation. However, there is a risk that a perioperative pause of PFI lead to acute atherothrombosis. Objective: Our aim was to study whether a discontinuation of PFI therapy is necessary to avoid bleeding complications in patients undergoing varicose vein surgery. Methods: Selective review of the literature and retrospective analysis of clinical data of our own patients. Results: In the years 2002 to 2007 a total of 10 827 patients have been operated on varicose veins, 673 (6.2%) of these aged 32–86 years (67 ± 7.9) receiving permanent PFI therapy: 256 male patients (38.0%) and 417 female (62.0%), 39.1% categorized as ASA III patients: male 11.6%, female 27.5%. 38 patients who continued PFI therapy did not demonstrate haemorrhagic complications and none of those pausing anti-platelet medication experienced thromboembolic complications. The literature survey confirmed our finding that it is not necessary to suspend PFI medication for varicose vein surgery as the bleeding risk can be controlled for by technical means. Conclusion: Discontinuation of PFI therapy prior to interventions on varicose veins does not seem to be necessary, further studies are essential though.

Recurrent varicose veins below the knee after varicose vein surgery

Phlebologie ◽  
2007 ◽  
Vol 36 (03) ◽  
pp. 132-136
Author(s):  
M. W. de Haan ◽  
J. C. J. M. Veraart ◽  
H. A. M. Neumann ◽  
P. A. F. A. van Neer
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Varicose Vein Surgery ◽  
Proximal Point ◽  
Perforating Veins ◽  
Recurrent Varicose Veins ◽  
Below The Knee ◽  
Duplex Imaging ◽  
Additional Value

SummaryThe objectives of this observational study were to investigate whether varicography has additional value to CFDI in clarifying the nature and source of recurrent varicose veins below the knee after varicose vein surgery and to investigate the possible role of incompetent perforating veins (IPV) in these recurrent varicose veins. Patients, material, methods: 24 limbs (21 patients) were included. All patients were assessed by a preoperative clinical examination and CFDI (colour flow duplex imaging). Re-evaluation (clinical and CFDI) was done two years after surgery and varicography was performed. Primary endpoint of the study was the varicographic pattern of these visible varicose veins. Secondary endpoint was the connection between these varicose veins and incompetent perforating veins. Results: In 18 limbs (75%) the varicose veins were part of a network, in six limbs (25%) the varicose vein appeared to be a solitary vein. In three limbs (12.5%) an incompetent sapheno-femoral junction was found on CFDI and on varicography in the same patients. In 10 limbs (41%) the varicose veins showed a connection with the persistent below knee GSV on varicography. In nine of these 10 limbs CFDI also showed reflux of this below knee GSV. In four limbs (16%) the varicose veins showed a connection with the small saphenous vein (SSV). In three limbs this reflux was dtected with CFDI after surgery. An IPV was found to be the proximal point of the varicose vein in six limbs (25%) and half of these IPV were detected with CFDI as well. Conclusion: Varicography has less value than CFDI in detecting the source of reflux in patients with recurrent varicose veins after surgery, except in a few cases where IPV are suspected to play a role and CFDI is unable to detect these IPV.

Klein with Lacan: A Study on the Reception of Lacanian Ideas in Uruguay and Its Effects on Clinical Practices (1955–82)

2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán
Keyword(s):  
Clinical Practice ◽  
Clinical Material ◽  
Clinical Practices ◽  
Before And After ◽  
The Difference ◽  
The 1960S ◽  
The Relationship ◽  
Discursive Approach ◽  
The Way ◽  
Clinical Cases

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.

Sign in / Sign up

Export Citation Format

Share Document