Venous and Lymphatic Disease

Adam, Donald J.; Bradbury, Andrew W.

doi:10.1007/978-1-84628-833-3_181

Donald J. Adam⁷ &
Andrew W. Bradbury⁸

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Pearls and Pitfalls

Where duplex ultrasonography identifies that thrombophlebitis of the main saphenous trunks is propagating into the deep system, anticoagulation should be commenced as for a deep vein thrombosis. Once the inflammation has settled, the affected segment may be excised.
Hemorrhage in patients with complicated varicose veins (VV) is usually a recurrent problem and definitive surgery should be performed during the same admission.
During pregnancy, treatment of VV is normally conservative with compression hosiery, although saphenous femoral junction ligation under local anesthesia may be considered for severe or recurrent thrombophlebitis.
Treatment of VV involves considerable medico-legal issues. Patients should, therefore, be specifically warned about the complications involved in treatment and this fact should be in the case records.
Endovenous techniques and ultrasound-guided foam sclerotherapy are associated with good short-term outcomes and appear to be promising...

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Selected Readings

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Authors and Affiliations

Department of Vascular and Endovascular Surgery, University of Birmingham, Netherwood House Solihull Hospital B91 2JL, London, United Kingdom
Donald J. Adam (Senior Lecturer in Vascular Surgery/Consultant Vascular and Endovascular Surgeon)
Department of Vascular and Endovascular Surgery, University of Birmingham, Netherwood House Solihull Hospital B91 2JL, London, United Kingdom
Andrew W. Bradbury (Professor of Vascular Surgery/Consultant Vascular Surgeon)

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Donald J. Adam
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Editors and Affiliations

Department of Surgery, Deputy Director, Comprehensive Cancer Center University of Alabama School of Medicine, Birmingham, AL, USA
Kirby I. Bland MD (Fay Fletcher Kerner Professor and Chairman) (Fay Fletcher Kerner Professor and Chairman)
Department of General and Visceral Surgery, University of Heidelberg, Heidelberg, Germany
Markus W. Büchler MD (Professor of Surgery and Chairman) (Professor of Surgery and Chairman)
Department of Surgery, University Hospital, Santiago, Chile
Attila Csendes MD, FACS (Hon) (Professor of Surgery and Chairman) (Professor of Surgery and Chairman)
James C. Mason Professor of Surgery Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN, USA
Michael G. Sarr MD
Department of Clinical and Surgical Sciences, The University of Edinburgh Royal Infirmary of Edinburgh, Edinburgh, UK
O. James Garden MBChB, MD, FRCS (Ed), FRCP (Ed), FRACS (Hon) (Regius Professor of Clinical Surgery) (Regius Professor of Clinical Surgery)
Department of Surgery, The University of Hong Kong Queen Mary Hospital, Hong Kong, China
John Wong BSc (Med (Syd)), MBBS (Syd), PhD (Syd), MD (Hon (Syd)), FRACS, FRCS (Edin), FRCS (Glasg), FACS (Hon) (Chair Professor) (Chair Professor)

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Adam, D.J., Bradbury, A.W. (2009). Venous and Lymphatic Disease. In: Bland, K.I., Büchler, M.W., Csendes, A., Sarr, M.G., Garden, O.J., Wong, J. (eds) General Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-833-3_181

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DOI: https://doi.org/10.1007/978-1-84628-833-3_181
Publisher Name: Springer, London
Print ISBN: 978-1-84628-832-6
Online ISBN: 978-1-84628-833-3
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