scholarly journals Short-term Results of Percutaneous Ablation of Perforators for Incompetent Perforating Veins Present in Lower Leg Skin Lipodermatosclerosis and Refractory Ulcer

2021 ◽  
Vol 32 (3) ◽  
pp. 323-329
Author(s):  
Naoki Haruta ◽  
Ryo Shinhara
Keyword(s):  
Lower Leg ◽  
Percutaneous Ablation ◽  
Short Term ◽  
Perforating Veins

Bioimpedance spectroscopy and volumetry in the immediate/short-term monitoring of intensive complex decongestive treatment of lymphedema

2020 ◽  
Vol 35 (9) ◽  
pp. 715-723 ◽  
Author(s):  
Attilio Cavezzi ◽  
Simone U Urso ◽  
Stefania Paccasassi ◽  
Giovanni Mosti ◽  
Fausto Campana ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lymphatic Drainage ◽  
Lower Leg ◽  
Mean Value ◽  
Treatment Manual ◽  
Spectroscopy Data ◽  
Bioimpedance Spectroscopy ◽  
Short Term ◽  
Secondary Lymphedema ◽  
Term Monitoring

Aims To assess (a) immediate/short-term outcomes of intensive complex decongestive treatment of lower limb lymphedema, by means of bioimpedance spectroscopy and tape measurement-based volumetry, and (b) correlation between these two methods. Patients and methods Cohort study on patients affected by unilateral primary or secondary lymphedema, stage II or III. Patients underwent complex decongestive treatment (manual and electro-sound lymphatic drainage, compression bandage, exercises, low-carb nutrition, and dietary supplements) for six days. Before (D0), three and six days after complex decongestive treatment (D3 and D6), volumetry and bioimpedance spectroscopy data of the total limb and lower leg were collected. Statistical analysis was applied to pre–post treatment outcomes and to the volumetry/bioimpedance spectroscopy correlation. Results Forty-one patients (15 males and 26 females, mean age: 50.7 years) were included. A progressive improvement of volumetry and bioimpedance spectroscopy figures was recorded. Total limb and leg volumetry (mean value in cc) was, respectively, 11,072.9 and 3150.8 at D0, 10,493 (−5.2%, p = 0.001) and 2980.2 (−5.4%, p < 0.001) at D6. Total limb lymphatic index at D0 and D6 was 18.9 and 14.8 (−21.5%, p < 0.001). Total limb resistance at D0, D3, and D6 was 200.4, 225.7, and 237.5 (+18.5%, p < 0.001), respectively; leg resistance at D0 and D6 was 117.5 and 150 (+27.7%, p < 0.001), respectively. Total limb reactance at D0, D3, and D6 was 12.2, 15, and 16.6 (+35.5%, p < 0.001), respectively. Leg reactance at D0 and D6 was 7.7 and 11.5 (+ 49.6%, p < 0001), respectively. Correlation volumetry/bioimpedance spectroscopy data were (a) total limb volumetry/resistance rho = −0.449, p < 0.01; volumetry/reactance rho=−0.466, p < 0.01; volumetry/lymphatic index rho = 0.581, p < 0.01; (b) leg volumetry/resistance rho=−0.579, p < 0.01; volumetry/reactance rho=−0.469, p < 0.01; volumetry/lymphatic index rho = 0.466, p < 0.05. Conclusions Complex decongestive treatment on lymphedematous limbs was effective at short term; both volumetry and bioimpedance spectroscopy showed a statistically significant improvement. Resistance and reactance increase, with lymphatic index decrease, correlated with volumetry decrease. Bioimpedance spectroscopy proved to help to assess fluid decrease and the tissue-related parameters variations.

Short-term Changes in Lower Leg Length in Children Treated for Acute Lymphoblastic Leukaemia

1999 ◽  
Vol 12 (1) ◽  
Author(s):  
S.F. Ahmed ◽  
W.H.B. Wallace ◽  
P.M. Crofton ◽  
B. Wardhaugh ◽  
R. Magowan ◽  
...  
Keyword(s):  
Acute Lymphoblastic Leukaemia ◽  
Lymphoblastic Leukaemia ◽  
Lower Leg ◽  
Leg Length ◽  
Short Term

Conclusions of a Consensus Conference on Subfascial Endoscopy of Perforating Veins in the Medial Lower Leg

1998 ◽  
Vol 32 (4) ◽  
pp. 339-346 ◽  
Author(s):  
Reinhard Fischer ◽  
Christine Schwahn-Schreiber ◽  
Gerhard Sattler
Keyword(s):  
Lower Leg ◽  
Consensus Conference ◽  
Perforating Veins

scholarly journals Knemometry Assessment of Short-Term Lower Leg Growth in Children with Asthma Treated with Inhaled Fluticasone Furoate

2017 ◽  
Vol 139 (2) ◽  
pp. AB95
Author(s):  
Ole Wolthers ◽  
Sally Stone ◽  
Philippe J. Bareille ◽  
Susan A. Tomkins ◽  
Sanjeev K. Khindri
Keyword(s):  
Lower Leg ◽  
Fluticasone Furoate ◽  
Short Term ◽  
Children With Asthma

scholarly journals Varicose vein appearance caused by perforating vein incompetence detected after intense cycling

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774749
Author(s):  
Charlotte E Davies ◽  
Angie M White ◽  
Mark S Whiteley
Keyword(s):  
General Population ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Lower Leg ◽  
Venous Reflux ◽  
Perforating Veins ◽  
Competitive Cyclists ◽  
Left Calf ◽  
Perforating Vein

The role of incompetent perforating veins in the aetiology of varicose veins is not well understood. Anecdotally, competitive cyclists appeared to be more prone to varicose veins than the general population. We present a case of a 63-year-old amateur competitive cyclist who acutely developed a painful varicosity of her left calf while straining during a hill climb in 106-mile cycle race. Duplex ultrasonography has shown an underlying incompetent perforating vein, feeding the varicosity directly through the underlying muscle. With no other significant venous reflux in either leg, we believe this case shows a clear causative association between the stresses put across the lower leg during competitive cycling and developing a varicose vein via an incompetent perforating vein. We believe this should lead to further investigations as to any link between cycling, perforator vein incompetence and the development of varicose veins.

Subfascial endoscopic perforator surgery using a soft trocar for varicose veins in the lower leg

2003 ◽  
Vol 18 (1) ◽  
pp. 30-34
Author(s):  
Masayuki Hirokawa ◽  
Yoshinori Inoue ◽  
Takehisa Iwai
Keyword(s):  
Carbon Dioxide ◽  
Polyvinyl Chloride ◽  
Varicose Veins ◽  
Lower Leg ◽  
Wound Complications ◽  
Perforating Veins ◽  
Carbon Dioxide Gas ◽  
Sealing Ring ◽  
Primary Varicose Veins ◽  
Subfascial Endoscopic Perforator Surgery

Objective: To describe the use of a novel soft trocar to perform subfascial endoscopic perforator surgery (SEPS) in patients with varicose veins in the lower leg. Procedures: From January 1999 through March 2001, SEPS was performed in 14 patients (17 legs) with primary varicose veins (clinical classes 3-6) by using a soft trocar. The soft trocar is a Y-shaped polyvinyl chloride bag with two ports at one end and a flexible, sealing ring at the opposite end. The subfascial space was dissected with an endoscopic dissection cannula and expanded with a balloon. Carbon dioxide gas insufflation was applied, and the perforating veins were divided by using UltraShears inserted simultaneously with an endoscope through the second port of the trocar. Results: A mean of 4.7 ± 2.9 perforating veins per leg were divided. No wound complications occurred. Conclusion: Use of the soft trocar facilitates both visualization and manipulation during SEPS.

The relationship between short-term changes in weight and lower leg length in children and young adults

1996 ◽  
Vol 23 (2) ◽  
pp. 159-162 ◽  
Author(s):  
S.F. Ahmed ◽  
B.W. Wardhaugh ◽  
J. Duff ◽  
W.H.B. Wallace ◽  
C.J.H. Kelnar
Keyword(s):  
Young Adults ◽  
Lower Leg ◽  
Leg Length ◽  
Short Term ◽  
Children And Young Adults ◽  
The Relationship
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