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Experience with subfascial ligation for varicose veins in Tanzania: a brief communication.
Hiroshima J Med Sci. 1992 Sep; 41(3):57-9.HJ

Abstract

From January 1987 through December 1989, ten patients with varicose veins complicated by postphlebitic ulcers were treated at Muhimbili Medical Center, Tanzania, by subfascial ligation of perforating veins. The technique employed was a posterior subfascial approach which avoids making the skin incision through the ulcer itself. The follow up periods ranged from one to three years and there was no recurrence of the ulcer in any of the patients in the study. The major indication for performing the procedure was the presence of a varicose stasis ulcer. Before surgery, all patients had a complete peripheral vascular examination to exclude deep venous thrombosis. Healing of varicose ulcers and elimination of stasis eczema had to be achieved four weeks before surgery. The authors maintain that patients who present with varicose veins of the lower leg and a postphlebitic stasis ulceration invariably have incompetence of the valves in the perforating veins and should be treated by subfascial ligation of the perforating veins.

Authors+Show Affiliations

Department of Surgery, Faculty of Medicine, Muhimbili Medical Center, Dar es Salaam, Tanzania.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1293068

Citation

Malliwah, J A., et al. "Experience With Subfascial Ligation for Varicose Veins in Tanzania: a Brief Communication." Hiroshima Journal of Medical Sciences, vol. 41, no. 3, 1992, pp. 57-9.
Malliwah JA, Aziz MR, Amir H. Experience with subfascial ligation for varicose veins in Tanzania: a brief communication. Hiroshima J Med Sci. 1992;41(3):57-9.
Malliwah, J. A., Aziz, M. R., & Amir, H. (1992). Experience with subfascial ligation for varicose veins in Tanzania: a brief communication. Hiroshima Journal of Medical Sciences, 41(3), 57-9.
Malliwah JA, Aziz MR, Amir H. Experience With Subfascial Ligation for Varicose Veins in Tanzania: a Brief Communication. Hiroshima J Med Sci. 1992;41(3):57-9. PubMed PMID: 1293068.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experience with subfascial ligation for varicose veins in Tanzania: a brief communication. AU - Malliwah,J A, AU - Aziz,M R, AU - Amir,H, PY - 1992/9/1/pubmed PY - 1992/9/1/medline PY - 1992/9/1/entrez SP - 57 EP - 9 JF - Hiroshima journal of medical sciences JO - Hiroshima J Med Sci VL - 41 IS - 3 N2 - From January 1987 through December 1989, ten patients with varicose veins complicated by postphlebitic ulcers were treated at Muhimbili Medical Center, Tanzania, by subfascial ligation of perforating veins. The technique employed was a posterior subfascial approach which avoids making the skin incision through the ulcer itself. The follow up periods ranged from one to three years and there was no recurrence of the ulcer in any of the patients in the study. The major indication for performing the procedure was the presence of a varicose stasis ulcer. Before surgery, all patients had a complete peripheral vascular examination to exclude deep venous thrombosis. Healing of varicose ulcers and elimination of stasis eczema had to be achieved four weeks before surgery. The authors maintain that patients who present with varicose veins of the lower leg and a postphlebitic stasis ulceration invariably have incompetence of the valves in the perforating veins and should be treated by subfascial ligation of the perforating veins. SN - 0018-2052 UR - https://www.unboundmedicine.com/medline/citation/1293068/Experience_with_subfascial_ligation_for_varicose_veins_in_Tanzania:_a_brief_communication_ DB - PRIME DP - Unbound Medicine ER -
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