The management of diseases of the venous system has evolved rapidly over the last forty years. Much of this development occured since the creation of the Union Internationale de Phlebologie (UIP) in 1959 which has helped to bring together those involved in the management of venous diseases. The Proceedings of the XII World Congress of the UIP will reflect the diversity of disciplines involved (such as phlebologists, dermatologists, surgeons, physiologists and radiologists) as well as new methods of investigation, prevention and the latest research on the topic.
Within the last five years a number of new books on venous disorders have been produced. Previously the study of venous disease was well-served by the classic texts of Foote, Anning, Dodd and Cockett, and Hobbs, but these texts are now out of print and out of date. How does Larry Tretbar's book equate with its competition? Those of you who pick up or purchase this delightful little book will not be disappointed. It is a single author text which is clearly written and succinct. In just over 100 pages Tretbar distils the work of many of his larger competitors without losing any vital information along the way. He also provides new insights and ideas in many areas. Contents are set out in a standard format but the writing is pithy and the line drawings (mostly by the author himself) are clear and helpful. It excels in the management and treatment of varicose veins where the author has made his major contribution. The book contains many of the classic venous references though these of necessity cannot be comprehensive in the interest of brevity. Linton pointed out that diseases of the veins of the lower extremities are one of the commonest of human ailments that can be remedied by surgical measures. These disorders are often poorly managed by junior doctors who fail to acquaint themselves with the anatomy and pathophysiology of these disorders.
Varicose veins are a very common problem. The precise aetiology of primary varicose veins remains unclear. It seems likely from the available evidence that inherited structural weakness combined with haemodynamic or microcirculatory abnormalities eventually lead to reduced vein wall elasticity, dilatation and the formation of varicosities. Increasing age, female gender, parity and occupation may all promote the development of varicose veins in susceptible individuals. Further clinical and experimental studies are necessary if the relative contribution of each of these factors is to be fully elucidated. References 1. Editorial. The treatment of varicose veins. Lancet 1975;ii:311. 2. Prerovsky I. Diseases of the veins. World Health Organisation, internal communication, MHO-PA 10964. 3. Weddell JM. Varicose veins: pilot study. Br J Surg 1969;23:179-186. 4. Hobsley M. Pathways in surgical management. 2nd ed. London: Edward Arnold, 1986. 5. Browse NL, Burnand KG, Lea Thomas M. Diseases of the veins. London: Edward Arnold, 1988. 6. Logan WPD, Brooke EM. The survey of sickness. Studies on medical and population subjects no. 12. London: General Register Office, 1957. 7. The committee on the Danish national morbidity survey. The sickness survey of Denmark. Copenhagen, 1960. 8. US Department of Health. Education and welfare: national health survey 1935-1936. Washington, DC, 1938. 9. The Department of National Health and Welfare and the Dominion Bureau of Statistics. Illness and health care in Canada. Canadian Sickness Survey 1950-1951. Ottawa, 1960.
A large number of cardiovascular diseases are accompanied by inflammation. This volume on the molecular basis of microcirculatory disorders gives a comprehensive summary of key steps in the inflammatory cascade. Leading investigators present a state-of-the-art analysis of the molecular determinants of leukocyte-endothelial cell adhesion, mechanotransduction in endothelial and inflammatory cells, mechanisms of cell activation, microvascular apoptosis with applications to ischemia-reperfusion in the brain, the heart and in venous disease, diabetes and hypertension. The book provides the latest thinking in these important cardiovascular problems, with the most contemporary literature and a look at the increasingly complex events during inflammation. Molecular biology tools, microvascular and modern bioengineering analysis are seamlessly integrated into the analysis of clinical problems. The book helps not only newcomers to gain entry into the interesting problems associated with microvascular disorders, but lays the foundation for the design of new therapeutic interventions.
The first edition of Leg Ulcers by David Negus was published in 1991. Since then, developments in the management of venous disorders and, in particular, of venous ulceration, have continued apace. Prominent among these has been the development of duplex ultrasound scanning, which now enables the diagnosis and treatment of venous ulceration to
Sclerotherapy: Treatment of Varicose and Telangiectatic Leg Veins, by Drs. Mitchel P. Goldman, Jean-Jerome Guex, and Robert A Weiss, equips you to implement the latest cosmetic procedures for the treatment of varicose and telangiectatic leg veins. Completely revised with contributions from U.S.-based and international authorities, this classic reference is packed with everything you need to know about sclerotherapy, and provides extensive discussions of the latest techniques, solutions, and possible complications. Case studies and detailed color illustrations offer practical, step-by-step visual guidance as well as expert hints and tips for implementing the latest cosmetic procedures into your practice including foam sclerotherapy, endovenous radiofrequency (RF) and laser closure, ambulatory phlebectomy and laser treatment of spider telangiectasia. You can also access the full content and videos online at www.expertconsult.com. 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. 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 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.
Authored by three of the leading world experts in phlebology, Venous Ultrasound is an essential text for anyone involved in the treatment of chronic venous disease. It provides specific information on ultrasound as it is applied to chronic insufficiency, including history, general techniques, examples of anatomy, and protocols for performing ultrasound on patients. Focusing on the fundamentals that every phlebologist needs to know, the book includes color illustrations and numerous line drawings for a complete learning experience. Key features: • Covers anatomy related to venous insufficiency • Includes useful diagrams and images to aid understanding • Thoroughly up to date, with all the latest information for those practicing venous therapies Venous Ultrasound will be invaluable for anyone interested in phlebology, especially general and vascular surgeons, physicians, radiologists, angiologists, sonographers, and nurses who work in this area.
TThis volume contains expert articles on the physiology and function of the microvascular and microlymphatic systems, the physiology of microvascular fluid filtration and reabsorption, interactions between blood cells and the microvascular endothelium, and molecular mechanisms of leukocyte activation. The therapeutic goals in chronic venous insufficiency include reduction of postischemic leukocyte-endothelial cell interaction, repair of microvascular barrier and improvement of microlymphatic drainage. In addition to measures to counteract inflammatory reactions elicited by local ischemia, surgical procedures such as transplantation of lymph vessels and subfascial division of perforating veins by an endoscopic approach are reviewed. Written by leading experts in the field, this book provides the first synopsis of the role of microcirculatory disturbances in chronic venous insufficiency. It will be of particular interest to phlebologists, angiologists, dermatologists, gerontologists, vascular, plastic and reconstructive surgeons, and general physicians.
The Vein Book is a comprehensive reference on veins and venous circulation. In one volume it provides complete, authoritative, and up-to-date information about venous function and dysfunction, bridging the gap between clinical medicine and basic science. It is the single authoritative resource which consolidates present knowledge and stimulates further developments in this rapidly changing field. - Startling new treatment for venous thromboembolic disease - Details the condition of varicose veins, spider veins and thread veins and discusses treatment options - Radically effective treatment of leg ulcer - Clarification of the pathophysiology of Venous Insufficiency - Molecular mechanisms in the cause of varicose veins
