By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci
The single textual content in particular dedicated to the topic, this moment variation serves as a whole and functional advisor for office-based surgical operation of varicose veins-providing a variety of illustrations showcasing the anatomy of varicose veins, in addition to step by step assurance of the ambulatory phlebectomy procedure.
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Extra info for Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology)
C) Double incompetent GSV marked for stripping. Anatomical Bases of AP 13 Often only a portion of the GSV is dilated and incompetent (Fig. 4). 4). In 79% of cases, the varicose GSV is accompanied by CVVs (4). In these cases, the largest varicose veins often develop from the CVs and not from the GSV trunk (Fig. 7). Therefore, GSV ligation and stripping should be carefully evaluated case by case, keeping in mind that it is not infrequent to find reflux in normal-looking GSVs in healthy, asymptomatic legs.
As an anecdote we remind the tremendous hate he was submitted to by the poet Petrarca (born in Arezzo in 1304), the first humanist of the renaissance. Guy de Chauliac really treated Laura from Noves, but could not cure her from pestis. He deserved celebrity status for having stated that the medicine base is that of anatomy, but studied by human dissection either on books. Two years before his death the dissection was officially admitted in Montpellier, in 1366. Ambroise Pare` (1510 –1590) He was the most clever surgeon of the Renaissance.
3 Transfer (cross-over) of reflux between the varicose segments of two different veins. Only the proximal portion of the GSV is incompetent; reflux is deviated distally to the varicose SSV via the incompetent Giacomini vein (GIA), intersaphenous thigh anastomosis. compartments: deep and superficial. Accordingly, the superficial veins are arranged in two layers, deep and superficial, which are divided by the superficial fascia (3). 2. The two major collectors (GSV and SSV) lie into the deep compartment of the subcutaneous space and are covered by the superficial fascia, whereas all other superficial veins (tributaries or collaterals of the saphenous) run subcutaneously into the superficial compartment.