基本説明
Describes a new technique for treating venous ulcers that has gained prominence throughout North America and mainland Europe; Provides a thorough treatment of anatomy, epidemiology and use of technique; and more.
Full Description
Atlas of Endoscopic Perforator Vein Surgery thoroughly describes the pathophysiology and treatment of venous ulcers - an increasingly common condition. The book describes new surgical treatment which accelerates the healing of formerly intractable venous ulcerations and which can be carried out in a day-care surgical centre thus avoiding the need for hospitalisation. The pathophysiology which explains the success of the procedure is thoroughly treated as is the anatomy of the deranged venous system and how it can be corrected. Various methods of treatment are described and are supplemented by instructions on conservative care before and after the surgical treatment. The text is lavishly illustrated and well supported by numerous colour photographs and line drawings. Results of surgical intervention are detailed and compared to historical data.
Contents
Section 1: Fundamental Considerations; Historical Perspectives; Surgical Anatomy of Perforating Veins; Epidemiology of Chronic Venous Insufficiency; Pathophysiology of Chronic Venous Insufficiency.- Section 2: Clinical Features; Clinical Presentation and Classification of Chronic Venous Disease; Plethysmographic Evaluation of Venous Function; Preoperative Evaluation of Chronic Venous Insufficiency with Duplex Scanning and Venography.- Section 3: Surgical Interventions; Correction of Superficial Reflux; Linton's Operation and Modification of the Open Techniques; Technical Armamentarium for Endoscopic Perforator Vein Surgery; Subfascial Endoscopic Perforator Surgery with Gas Insufflation; Subfascial Endoscopic Perforating Surgery: The Open Technique. Additional Maneuvers for Subfascial Endoscopic Perforator Vein Surgery; Creation of Subfascial Space; Subfascial Dissection, Perforator Division and Ultrasonic Coagulation; Comparison of Open Linton Operation with Subfascial Endoscopic Perforator Surgery; Deep Venous Thrombosis Prophylaxis.- Section 4: Supportive Therapy; Compression Therapy for Treatment of Lower Extremity Chronic Venous Insufficiency and Venous Stasis Ulcers; The Medical Management of Chronic Venous Ulcers; Local Management of Chronic Leg Ulcers.- Section 5: North American Subfascial Endoscopic Perforator Surgery (NASEPS) Registry; Results of the NASEPS Registry.
