Surgery for Varicose Veins Caused by Atypical Incompetent Perforating Veins

The surgical treatment of incompetent perforating veins.

Ulceration of the skin of the lower limb has been recorded as an affliction of the human race since the time of Hippocrates. It is almost certainly the price we pay for having emerged from the ocean and learned to stand erect. 1 The association between ulceration at the ankle and venous disorders of the lower limb has been known for over 2000 years and compression therapy is referred to in the ...

Thermographic Localization of Incompetent Perforating Veins

It is, howvver, difficult to explain on this basis how a patienmay resp6nd again once resistance has occurred (Figs. 1-4). For these reasons we believe that asparaginase should be used in combination with other drugs in the treatment of acute leukaemia. Although when used alone it does not produce complete remission in acute myeloid leukaemia, it still may have a part to play when used in combi...

Subfascial endoscopic ligation in the treatment of incompetent perforating veins.

OBJECTIVES To assess the technique of subfascial endoscopic ligation of incompetent perforatory veins by use of a mediastinoscope. DESIGN Prospective open clinic study. SETTING Two Departments of Surgery. MATERIALS AND METHODS Thirty-eight consecutive patients (40 legs) with recurrent or protracted venous ulceration of the lower leg were treated. Through a short, transverse incision of th...

Varicose Veins

Under normal circumstances, blood collected from superficial venous capillaries is directed upward and inward via one-way valves into superficial veins. These in turn drain via perforator veins, which pass through muscle fascia into deeper veins buried under the fascia. Leakage in a valve causes retrograde flow back into the vein. Unlike deep veins which are thick-walled and confined by fascia,...

Varicose Veins