The first edition of this text was written almost 25 years ago at the beginning of my medical career. Although it was thought of as an authoritative text, it merely represented a review of the world's literature on sclerotherapy and actually served to teach me the basics of phlebology. The second edition, written five years later, expanded on the theme of an encyclopedic review of the literature and included more practical information now gained through my early experience in phlebology. The third edition, written five years later, brought my co-author and teacher John Bergan to add his depth of knowledge and expertise. The third edition again continued in the spirit of an encyclopedic dissertation with more practical information and case reports. The fourth edition brought another co-editor, J-J. Guex to the text to add both a European perspective to the text as well as include more international knowledge and expertise. In addition Professor Hugo Partsch, the world's leading authority on compression therapy re-wrote the Compression chapter and Albert-Adrien Ramelet, MD included the first chapter on Veno-Active drugs. For the fifth edition, we have added Robert Weiss, MD as a co-editor to replace the retirement of our Dr. John Bergan. In addition to adding his expertise to each chapter, Bob is responsible for updating the accompanying DVD filled with educational and practical videos to aid physicians into applying the knowledge of this text in a practical maner to their patient practice.
Phlebology and the treatment of varicose and telangiectatic leg veins continues to evolve significantly with the addition of endovenous laser and radiofrequency techniques for treating the great and small saphenous veins as well as perforator and tributary veins. In addition, the resurgence of using foamed sclerosing agents has expanded our treatment abilities while minimizing adverse effects.The world has continued to grow smaller, with the International Union of Phlebology serving to bring physicians from all nations together every two years to share their experiences. This has led to an increasing body of knowledge that deserves to be organized in one source. It should therefore come as no surprise that this fifth edition contains approx 416 new references, a totally revised anatomy chapter co-authored with Stefano Ricci, MD a world class historian, anatomist and phlebologist, and the surgical chapter re-written by Michel Perrin, MD, Vice-President of the IUP, a senior internationally respected Vascular Surgeon and Phlebologist. The addition of these international leaders and outstanding teachers and clinicians from France and Italy further broaden the breath of this text.The success of the combined efforts of the new co-editor and two additional chapter editors is represented by the approx 84 new illustrations and 10 new tables, all of which should increase the practicality of the fifth edition while maintaining its encyclopedic nature.The enhancement of patient care evidenced through an increase in successful treatment while minimizing adverse events is the reason for our joint efforts. I thank the world phlebological community for sharing the combined expertise of thousands of physicians in such a selfless manner under the encouragement of the International Union and each country's phlebological society.
Mitchel P. Goldman
Key Feature
- Optimize outcomes and improve your surgical, injection and laser techniques with comprehensive, visual guidance about common pitfalls and "tricks of the trade" from practically minded, technically skilled, hands-on experts.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
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New in this edition
- Implement the latest approaches with completely updated chapters reflecting the most recent advances in sclerotherapy and surgical treatment of varicose and telangiectatic leg veins.
- See how to perform a variety of key procedures with step-by-step videos, on DVD-ROM, demonstrating endovenous radiofrequency closure, CoolTouch endovenous ablation, cross polarization visualization, PPG digital measuring, sclerotherapy of the lateral venous system showing reflux, foam sclerotherapy, telangiectatic matting, ambulatory phlebectomy, and draining of intravascular coagulum.
- Apply the best practices and global perspectives from a newly reorganized team of U.S.-based and international authors and contributors.
- Access the complete contents from any computer at www.expertconsult.com, complete with the full text and entire image bank.
Contents
INTRODUCTION
- Historical Aspects of Treatment
- Reasons for Treatment
- Present Day Treatment
- References
CHAPTER 1 - Anatomy
- Introduction
- General Considerations
- Deep Venous System
- Anatomy of the Superficial Veins
- Duplex Ultrasound Markers for Vein Identification
- Great Saphenous Vein
- Small Saphenous Vein
- Foot Veins
- Nerves of the Leg of Phlebologic Interest
- Histology
- References
CHAPTER 2 - Adverse Sequelae and Complications of Venous Hypertension
- Pathogenesis
- Molecular Mechanisms
- Inflammation and Skin Changes
- Classification of Venous Disease
- Incidence
- Symptoms
- Signs
- Classification
- References
CHAPTER 3 - Pathophysiology of Varicose Veins
- Histochemical Physiology of Varicose Veins
- Pathophysiology
- Increased Deep Venous Pressure
- Menstrual Cycle Effects
- Constitutive Elements and Progression of Varicose Veins
- Heredity
- Aging
- References
CHAPTER 4 - Pathophysiology of Telangiectasias
- Classification
- Patterns
- Pathogenesis
- Incidence
- Pathophysiology
- References
CHAPTER 5 - Noninvasive Examination of the Patient Before Sclerotherapy
- Medical History
- Purpose of Venous Evaluation
- Physical Examination
- Noninvasive Diagnostic Techniques
- Use of Noninvasive Techniques
- Case Study 1
- Evaluation of the origin of recurrences after ligation and stripping
- Evaluation of vulvar varices
- Invasive Diagnostic Techniques
- Future Evaluation Techniques
- References
CHAPTER 6 - Use of Compression Therapy
- Historical Development
- Mechanism of Action
- Basic Principles of Compression
- Compression Material
- Dangers, Complications and Contraindications
- Clinical Indications for Compression Therapy
- References
CHAPTER 7 - Mechanism of Action of Sclerotherapy
- General Mechanism for Producing Endothelial Damage
- Categories of Sclerosing Solutions
- Factors Predisposing to Thrombosis
- Factors Predisposing to Endofibrosis
- Experimental Evaluation of Sclerosing Solutions
- Clinical Use of Sclerosing Agents
- References
CHAPTER 8 - Complications and Adverse Sequelae of Sclerotherapy
- Adverse Sequelae
- Complications
- Summary
- References
CHAPTER 9 - Clinical Methods for Sclerotherapy of Varicose Veins
- Historical Review of Techniques
- Injection Technique
- Does the Menstrual Cycle Influence Sclerotherapy?
- Recommended Sclerosing Solution Amounts and Concentrations for Non-Foam Sclerotherapy
- Postsclerotherapy Compression
- Contraindications to Treatment
- Case Histories
- Case Study 1 Incompetent perforator veins treated with Fegan's technique
- Case Study 2 Incompetent perforator vein at the midcalf treated with modified Fegan technique
- Case Study 3 Reticular varicosities without perforator vein reflux treated with total-vein sclerotherapy (Sigg's technique)
- Case Study 4 Posterior thigh varicose GSV tributary associated with an incompetent SFJ treated with sclerotherapy alone using the air-bolus technique
- Case Study 5 Incompetent GSV varicose tributaries treated with total-vein sclerotherapy alone
- Case Study 6 Incompetent perforator vein underlying ankle ulceration
- Case Study 7 Sclerotherapy of vulvar varicosities
- Case Study 8 Large varicose vein from incompetent perforator veins
- Case Study 9 Extensive varicosities of GSV and GSV tributaries
- Case Study 10 Development of SFJ incompetence after initial successful treatment of varicose GSV and tributaries
- Case Study 11 Symptomatic clinically inapparent varicose vein treated with duplex-controlled sclerotherapy
- Case Study 12 Treatment of dorsal hand veins
- Case Study 13 Duplex-guided injection
- Case Study 14 VeinRx catheter foam sclerotherapy of the GSV
- Case Study 15 Varicose veins and venous ulcers treated with sclerosant microfoam
- Case Study 16 Microfoam sclerotherapy in Klippel-Trenaunay Syndrome (KTS) and a patent foramen ovale (PFO)
CHAPTER 10 - Role of Surgery in the Treatment of Varicose Veins
- Background
- Basis and Aim of Surgery
- The Different Surgical Procedures
- Investigations to be Done Before VV Surgery
- Patient's Information
- Anesthesia and Hospitalization
- Postoperative Care and Convalescence
- Surgical Complications39,40
- Redo Surgery
- Post Surgical Follow-up
- Results from Surgery
- Indications for Surgery
- Conclusions
- References
CHAPTER 11 - Intravascular Approaches to the Treatment of Varicose Veins: Radiofrequency and Lasers
- Radiofrequency Closure
- Endoluminal Laser
- Conclusions
- References
CHAPTER 12 - Clinical Methods for Sclerotherapy of Telangiectasias
- Historical Review of Techniques
- Indication
- Injection Technique
- Post-Treatment Techniques
- Repeat Treatment Sessions
- Poor Results of Microsclerotherapy: How to Analyze the Reasons
- Sclerotherapy Treatment of Facial Telangiectasia
- Sclerotherapy Treatment of Essential Telangiectasia
- Conclusion
- Case Study 1 Traumatic telangiectatic patch
- Case Study 2 Unassociated telangiectasia
- Case Study 3 Reticular vein unassociated with the saphenous system
- Case Study 4 Mixed reticular and telangiectatic veins
- Case Study 5 Extensive reticular and telangiectatic veins
- Case Study 6 Treatment of cherry hemangiomas
- Case Study 7 Lateral subdermal plexis
- Case Study 8 Long-term follow-up of sclerotherapy treatment of telangiectasia
- Case Study 9 Long-term follow-up of sclerotherapy treatment of telangiectasia
- Case Study 10 Treatment of telangiectasia and resulting telangiectatic matting
- Case Study 11 Treatment of facial telangiectasia
- Case Study 12 Treatment of facial telangiectasia
- Case Study 13 Facial telangiectasias and venous malformation
- Case Study 14 Sclerotherapy of telangiectasias on venous malformation
- Case Study 15 Treatment of reticular chest veins
- References
CHAPTER 13 - Treatment of Leg Telangiectasias with Laser and High-Intensity Pulsed Light
- Histology of Leg Telangiectasia
- Laser Treatment of Leg Telangiectasia
- High-Intensity Pulsed Light
- ND:YAG Laser, 1064 nm
- Evaluation of Combined Laser–Sclerotherapy Treatment of Leg Telangiectasia
- Conclusions
- References
CHAPTER 14 - Venoactive Drugs
- Introduction
- Classification of VAD
- Principal Mode of Action of VAD
- Administration, Dosage, Limits
- Scientifically Recognized Indications
- Results
- Conclusions
- References
CHAPTER 15 - Setting Up a Sclerotherapy Practice
- Providers
- Facility
- Equipment
- Photography
- Patient Informational Brochures
- Insurance Reimbursement
- Additional Resources
- References
APPENDICES
- APPENDIX A: Compression Hosiery, Compression Bandages, and Pressure Pads
- APPENDIX B: Manufacturers and Distributors of Sclerosing Solutions
- APPENDIX C: Equipment Sources
- APPENDIX D: Patient Brochures
- APPENDIX E: Responses to Postoperative FAQs
- APPENDIX F: What to Tell a Patient Calling with a Varicose Hemorrhage
- APPENDIX G: Checklist of Questions for Your Secretary to Ask Before Passing You a Patient on the Telephone
- APPENDIX H: Coding and Billing Guide for Endovenous Laser Ablation
Product Details
- Hardcover: 416 pages
- Publisher: Saunders; 5 edition (January 31, 2011)
- Language: English
- ISBN-10: 0323073670
- ISBN-13: 978-0323073677
- Product Dimensions: 11.2 x 8.8 x 0.9 inches
List Price: $269.00