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[Surgical treatment of varices at the stage of trophic disorders in chronic venous insufficiency].
J Mal Vasc. 1991; 16(2):142-5.JM

Abstract

Most ulcers of the lower limbs are caused by existing chronic venous insufficiency. Later on, true social and professional problems will arise, with serious economic and psychological consequences not only for the patient himself, but for the community as well, such as huge medical costs--hence the importance of prevention and treatment, which must in no case be purely symptomatic. The ligation of the arch and of the perforating veins and stripping of the affected vein are part of the classical management of varices. These procedures can may prove to be virtually impossible in case of chronic venous insufficiency, if the patient also presents with subcutaneous liposclerosis or atrophy in an already pregangrenous skin. This preulcerous stage can be aggravated later on if the requirements for surgical repair are not met. Necrosis can then occur, if too aggressive surgery directly or indirectly injures the microcirculatory system of the damaged skin. Omitted or undesirable acts are dangerous at the stage of trophic disorders and surgery may fail to reach its aim, which of course would be to definitively and quickly eliminate the varicose disease.

Authors+Show Affiliations

Service de Chirurgie, Hôpital cantonal de Münsterlingen, Suisse.No affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

1861107

Citation

Ludin, A, and J Ammann. "[Surgical Treatment of Varices at the Stage of Trophic Disorders in Chronic Venous Insufficiency]." Journal Des Maladies Vasculaires, vol. 16, no. 2, 1991, pp. 142-5.
Ludin A, Ammann J. [Surgical treatment of varices at the stage of trophic disorders in chronic venous insufficiency]. J Mal Vasc. 1991;16(2):142-5.
Ludin, A., & Ammann, J. (1991). [Surgical treatment of varices at the stage of trophic disorders in chronic venous insufficiency]. Journal Des Maladies Vasculaires, 16(2), 142-5.
Ludin A, Ammann J. [Surgical Treatment of Varices at the Stage of Trophic Disorders in Chronic Venous Insufficiency]. J Mal Vasc. 1991;16(2):142-5. PubMed PMID: 1861107.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of varices at the stage of trophic disorders in chronic venous insufficiency]. AU - Ludin,A, AU - Ammann,J, PY - 1991/1/1/pubmed PY - 1991/1/1/medline PY - 1991/1/1/entrez SP - 142 EP - 5 JF - Journal des maladies vasculaires JO - J Mal Vasc VL - 16 IS - 2 N2 - Most ulcers of the lower limbs are caused by existing chronic venous insufficiency. Later on, true social and professional problems will arise, with serious economic and psychological consequences not only for the patient himself, but for the community as well, such as huge medical costs--hence the importance of prevention and treatment, which must in no case be purely symptomatic. The ligation of the arch and of the perforating veins and stripping of the affected vein are part of the classical management of varices. These procedures can may prove to be virtually impossible in case of chronic venous insufficiency, if the patient also presents with subcutaneous liposclerosis or atrophy in an already pregangrenous skin. This preulcerous stage can be aggravated later on if the requirements for surgical repair are not met. Necrosis can then occur, if too aggressive surgery directly or indirectly injures the microcirculatory system of the damaged skin. Omitted or undesirable acts are dangerous at the stage of trophic disorders and surgery may fail to reach its aim, which of course would be to definitively and quickly eliminate the varicose disease. SN - 0398-0499 UR - https://www.unboundmedicine.com/medline/citation/1861107/[Surgical_treatment_of_varices_at_the_stage_of_trophic_disorders_in_chronic_venous_insufficiency]_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -