By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci
The single textual content in particular dedicated to the topic, this moment variation serves as an entire and useful consultant for office-based surgery 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 procedure.
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Additional info for Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology)
Ueber die Unterbindung der Vena saphena magna bei unterschenkelvaricen)—Beitrage zur klinischen Chirurgie 1890; 7:195. Part I: General Considerations 1 Definition and Indications “Ambulatory phlebectomy” (AP) is the term given by R. 5 – 4 mm in length), under local anesthesia. These do not require skin sutures and are followed by hemostatic compression and immediate ambulation. INDICATIONS Varicose veins of any size—except telangiectasia—and at any site—except for the proximal end of the great saphenous vein (GSV) and its junction with the common femoral vein (sapheno femoral junction, SFJ)—can be removed by AP.
Des Etanges: The lower limbs are submitted to varices that are not difficult to eliminate . . I will therefore say that all the varices becoming harmful must be repressed by the fire or suppressed by the instrument. The cauterization is preferred when the vein is straight; we should have recourse to it also if, in spite of the present obliquities, the vein is isolated and has a medium volume. At the opposite, if the varices are winding, at the point of forming a kind of circumvolutions and plaits, it is more advisable to excise them (utilius est eximere).
Despite this sentence, in the name of the infallible philosophy, Aristotele’s, Hippocrates’, and Galeno’s fans followed for 2000 years the spirit constructions instead of the facts of reality. xxxiii xxxiv History of Ambulatory Phlebectomy In the 16th century, although ignoring the Latin and Greek language, Ambroise Pare´ developed his genius at “the university of battlefields”. He was the most clever of Renaissance surgeons and the craftsman of the surgery renaissance. In spite of being a devout Ugonot, he used religion only to love and respect his patients.