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[Perforating veins and venous insufficiency].
Zentralbl Chir. 1999; 124(6):525-9.ZC

Abstract

As communicating link between the deep and the superficial venous system the perforating veins are of special importance. With the introduction of the subfascial videoendoscopic dissection of the perforating veins the interest in anatomic and topographic aspects of the surgical treatment of insufficient perforators has increased. Different pathophysiological conditions can cause insufficient perforating veins. We can distinguish between a primary form and a secondary form caused by an advanced varicosis of the main superficial veins. A third entity consists in an insufficiency created by a postthrombotic alterations of the deep venous system. Primary insufficient perforators should be treated surgically. In the case of a secondary insufficiency the indication is dependent on the extent of the pathological findings. If there is an obstruction of the deep venous system which causes the insufficiency of a perforator the vein should not be divided. The videoendoscopic subfascial dissection of the insufficient perforating veins has several advantages compared with direct percutaneous exposure. The technique is easy to learn, however it requires profound knowledge about the compartmental spaces and the topographic anatomy of the perforating veins in the lower leg.

Authors+Show Affiliations

Klinik für Chirurgie, Kantonsspital St. Gallen.No affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

10436511

Citation

Clerici, T, and D Sege. "[Perforating Veins and Venous Insufficiency]." Zentralblatt Fur Chirurgie, vol. 124, no. 6, 1999, pp. 525-9.
Clerici T, Sege D. [Perforating veins and venous insufficiency]. Zentralbl Chir. 1999;124(6):525-9.
Clerici, T., & Sege, D. (1999). [Perforating veins and venous insufficiency]. Zentralblatt Fur Chirurgie, 124(6), 525-9.
Clerici T, Sege D. [Perforating Veins and Venous Insufficiency]. Zentralbl Chir. 1999;124(6):525-9. PubMed PMID: 10436511.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perforating veins and venous insufficiency]. AU - Clerici,T, AU - Sege,D, PY - 1999/8/7/pubmed PY - 1999/8/7/medline PY - 1999/8/7/entrez SP - 525 EP - 9 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 124 IS - 6 N2 - As communicating link between the deep and the superficial venous system the perforating veins are of special importance. With the introduction of the subfascial videoendoscopic dissection of the perforating veins the interest in anatomic and topographic aspects of the surgical treatment of insufficient perforators has increased. Different pathophysiological conditions can cause insufficient perforating veins. We can distinguish between a primary form and a secondary form caused by an advanced varicosis of the main superficial veins. A third entity consists in an insufficiency created by a postthrombotic alterations of the deep venous system. Primary insufficient perforators should be treated surgically. In the case of a secondary insufficiency the indication is dependent on the extent of the pathological findings. If there is an obstruction of the deep venous system which causes the insufficiency of a perforator the vein should not be divided. The videoendoscopic subfascial dissection of the insufficient perforating veins has several advantages compared with direct percutaneous exposure. The technique is easy to learn, however it requires profound knowledge about the compartmental spaces and the topographic anatomy of the perforating veins in the lower leg. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/10436511/[Perforating_veins_and_venous_insufficiency]_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -
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