Surgical treatment of chronic venous insufficiency by subfascial ligation of the venae perforantes

A series of 82 cases of chronic venous insufficiency (28 with post-phlebitis syndrome), in which superficial phlebectomy was associated with subfascial ligation of the perforantes according to Linton or Felder, is presented. The results were excellent in 90% of patients with long-standing essential...

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Bibliographic Details
Published inMinerva chirurgica Vol. 35; no. 18; p. 1401
Main Author Galasso, U
Format Journal Article
LanguageItalian
Published Italy 30.09.1980
Subjects
Adult
Aged
Chronic Disease
Female
Humans
Male
Middle Aged
Phlebitis - complications
Prognosis
Varicose Veins - surgery
Venous Insufficiency - etiology
Venous Insufficiency - surgery
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Summary:A series of 82 cases of chronic venous insufficiency (28 with post-phlebitis syndrome), in which superficial phlebectomy was associated with subfascial ligation of the perforantes according to Linton or Felder, is presented. The results were excellent in 90% of patients with long-standing essential varices, but were less impressive in those with post-phlebitis syndrome (persistence of oedema in 50%; disappearance of eczema in 70% with no recurrence of ulcers). Stress is laid on the efficacy of the operation, but attention is drawn to the need for "polyvalent" therapy, in which surgery, sclerosing agents and medical therapy must be carefully integrated and blended.
ISSN:0026-4733