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Venous Disorders of the Legs


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Table of Contents

1 Anatomy of the Leg Veins.- Configuration of the venous system.- Histology.- Venous innervation.- Embryology.- Venous systems of the foot.- Superficial venous system.- Greater (long) saphenous vein.- Lesser (short) saphenous vein.- Reticular vein system.- Accompanying nerves.- Deep venous system.- Intermuscular veins (venae comites).- Intramuscular veins.- Perforating veins.- Valves.- Comments.- References.- 2 Venous Function, Dysfunction and Venous Insufficiency.- Return of blood to the heart.- Venous pressure.- Chronic venous insufficiency.- Chronic venous hypertension.- Comments.- References.- 3 Clinical Phlebologic Evaluation.- History of present illness.- Past medical history.- Physical examination.- Comments.- References.- 4 Venous Testing, Non-Invasive and Invasive.- Non-invasive vascular testing: ultrasound.- Venous Doppler examination.- Duplex ultrasonography.- Plethysmography.- Magnetic resonance imaging.- Thermography.- Invasive vascular testing.- Comments.- References.- 5 Patterns of Varicose Vein Development/Principles of Treatment.- Common patterns of varicose vein development.- Non-saphenous veins.- Principles of treating varicose veins.- Greater saphenous vein incompetence.- Lesser saphenous vein incompetence.- Microincisional phlebectomy.- Comments.- References.- 6 History of Medical and Surgical Treatment of Varicose Veins.- Early surgical treatments.- British experience.- German experience.- Post-Trendelenburg experience.- American school of surgery.- Later American experience.- Follow-up.- Comments.- References.- 7 Contemporary Medical and Surgical Treatment of Varicose Veins.- Overview.- Greater saphenous vein incompetence.- Lesser saphenous vein incompetence.- Microincisional phlebectomy.- Valvuloplasty.- Surgical techniques.- New varicose veins.- Comments.- References.- 8 Injection Sclerotherapy.- Mechanism of action of sclerotherapy.- Types of sclerosant solutions.- Complications.- Side-effects.- Clinical applications.- Clinical approaches.- Clinical techniques.- Compression.- Comments.- References.- 9 Complications of Chronic Venous Insufficiency.- Cutaneous complications.- Treatment of chronic venous ulcers.- Comments.- References.- 10 Venous Thromboembolic Disease.- Pathogenesis of deep venous thrombosis.- Clinical experience.- Establishing a diagnosis of deep venous thrombosis.- Pulmonary embolism.- Treatment of venous thromboembolism.- General medical care.- Prevention of thromboembolism.- Comments.- References.- Color Plate Section.

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