By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci
The one textual content in particular dedicated to the topic, this moment variation serves as a whole and functional advisor for office-based surgical procedure of varicose veins-providing a number of illustrations showcasing the anatomy of varicose veins, in addition to step by step insurance of the ambulatory phlebectomy strategy.
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Additional resources for Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology)
4) (4,5). Therefore, SFJ or SPJ ligation should not be performed for anatomical reasons alone; that is, assuming that if the veins that drain into these junctions are varicose, then the main junctions must also be incompetent. In one series, out of 218 reflux points in the groin, 151 (69%) corresponded to the SFJ, 39 (18%) to pelvic anastomoses, and 28 (13%) to abdominal or anterolateral collaterals of the SFJ. 4 Extension of Reflux in the Varicose GSV: 162 Limbs Most proximal reflux level Groin SJF alone SFJ þ collateral (pelvic and/or abdominal reflux) Thigh Knee or below Distal extension of reflux Malleolus (total reflux) Mid-calf Above or below knee No.
These patterns and their prevalence as determined in a series of 610 consecutive limbs with and without varicose veins are as follows (Fig. 12 with patterns) (15). Type A: Full size GSV trunk, present in all its length in the saphenous compartment, with no large subcutaneous side branches. This pattern is found in 52% of cases. When such GSV becomes incompetent, it may give rise to what Tibbs (16) calls “concealed” or “straight through” form of incompetence, when the diseased GSV is not visible and barely palpable because of its subfascial position.
So we must speak about phlebectomy according to Celsus and not of Celsus. CLAUDIUS GALENUS In spite of his Latin name, he was a Greek, born in Pergamus in 130 and died in Rome in 200. He was the last giant of Greek–Roman antiquity medicine. He wrote more than 500 works. He was devoted to scientific research and contributed to the development of anatomy. He represents the apex of the Greek medicine. Monotheist, together with Aristotele, reigned as soverign over the Medieval scholastic medicine. He treated the varices by the technique described by Celsus, avulsing them with the hook.