Procedures in Cosmetic Dermatology Series: Treatment of Leg Veins

Author: Alam> Murad  

Publisher: Elsevier Health Sciences‎

Publication year: 2010

E-ISBN: 9781437736175

P-ISBN(Paperback): 9781437719222

Subject: R75 Dermatology and Venereology

Keyword: 皮肤病学与性病学

Language: ENG

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Description

Procedures in Cosmetic Dermatology Series: Treatment of Leg Veins by Murad Alam, MD and Sirunya Silapunt, MD, offers practical, step-by-step visual guidance as well as expert hints and tips for performing a full range of cosmetic procedures including ambulatory phlebectomy, sclerotherapy, foam sclerotherapy, and laser surgery. Edited by the foremost pioneers in the field, this edition provides coverage of timely topics and advancements and includes new chapters on ultrasound techniques and compression. Case studies with more "e;before and after"e; clinical photographs depict cases as they present in practice and enables you to immediately implement the newest surgical procedures into your practice. Optimize outcomes and improve your technique with guidance about common pitfalls and "e;tricks of the trade"e; from practically minded, technically skilled, hands-on clinicians. Implement the newest surgical procedures into your practice with the guidance of an expanded, comprehensive collection of techniques. Stay current with the emerging topics and newest developments in cosmetic surgery. New chapters cover the latest ultrasound-guided procedures and compression techniques. See things as they appear in practice thanks to an abundance of color illustrations and case studies, including more "e;before and after"e; clinical photographs.

Chapter

Venous Physiology

Pathophysiology

Primary Venous Insufficiency

Chronic Venous Insufficiency

Failure of Vein Walls and Valves

Skin Changes

Summary and Conclusion

Further reading

Chapter 2: Presentations of Venous Disease

Introduction

Treatment Approach

Conclusion

Further reading

Chapter 3: Patient Evaluation:

Introduction: Organization of Clinical Examination

History

Presenting Complaint

General History

History of Vascular Disease

Active Symptoms

Physical Examination

Equipment

Physical Examination (Standing)

Physical Examination (Supine)

Complementary Clinical Maneuvers

Further Clinical Assessment

Charting

Summary

Further reading

Chapter 4: Lower Extremity Ultrasound:

Introduction

Ultrasound Instrumentation

Ultrasound Training

Diagnostic Applications

Therapeutic Applications

Summary

Further reading

Chapter 5: An Overview of Therapy for Leg Veins

Introduction

Compression

Active and Passive Compression

Compression Bandages (Tables 5.1 and 5.2; Fig. 5.2)

Compression Stockings

Treatment of Small Vessel Disease

Treatment of Large Nontruncal Varicose Veins

Treatment of Perforating Veins

Treatment of Truncal Incompetence

Integrating Therapeutic Options

Further Reading

Chapter 6: Sclerotherapy

Introduction

Advances in Large Vessel Sclerotherapy

Advances and Alternatives for the Treatment of Small Vessels

Classifying Veins, New Paradigms

Measuring Veins: Mechanics

Sclerosants

Compression

Telangiectasia Clinical Presentations and Outcomes

Long-Term Observations: Recurrence of Varicose Veins and Proliferation and Involution of Telangiectasia

Matting/Neovascularization/ Second-Generation Veins

Venous Reflux

Questions and Answers

Treatment Pearls

Conclusion

Acknowledgments

Further reading

Chapter 7: Laser Surgery

Introduction

Patient Selection

Expected Benefits

Overview of Treatment Strategy

Patient Interviews

Treatment Techniques

Advanced Topics: Treatment Tips for Experienced Practitioners

Case Studies

Further Reading

Chapter 8: Ambulatory Phlebectomy

Introduction

The Problem Being Treated

Patient Selection

Expected Benefits

Overview of Treatment Strategy

Patient Interviews

Clinical Examination

Treatment Techniques

Postoperative Course

Troubleshooting

Side Effects

Complications

Alternative Methods

Special Indications

Debatable New Developments of the Technique

Further reading

Chapter 9: Endovenous Thermal Ablation

Introduction

Patient Selection

Applications

Evta Equipment

Tumescent Anesthesia

Evta Technique

Postoperative Care and Instructions

Technical Comments

Results of Evta

Summary

Case Studies

Further reading

Chapter 10: Venous Stripping and Subfacial Endoscopic Perforator Surgery (SEPS)

Introduction

Stripping of Great and Small Saphenous Veins

Results

Use of Phlebectomy vs. Sclerotherapy as an Adjunct to Stripping of Axial Veins

Removal of Infragenicular Great Saphenous Vein

Simple Ligation of Saphenofemoral Junction

Subfascial Endoscopic Perforator Surgery (SEPS)

Results

Summary

Further reading

Chapter 11: Indications for Surgery Today:

Actual Trends

Pros and Cons of Surgery

Indications for Surgery Today

Conclusion

Case Studies

Further reading

Chapter 12: Compression Therapy

Introduction

Physiology and Anatomy

Patient Selection

Types of Compression

When Compression Stockings are Not an Option

Pitfalls and Pearls

Troubleshooting

Instructions for Patients

Further reading

Index

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