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Chronic venous insufficiency, manifesting as disabling open leg ulcers, lipodermatosclerosis and severe cutaneous hyperpigmentation is thought to affect five percent of the population over age 80 and a significant proportion, probably greater than one percent, of Western populations under age 65. To date little has been known about how to treat this condition cost-effectively beyond supportive and palliative care. Thus, the most important feature of Chronic Venous Insufficiency is that it describes the interventions which markedly ameliorate, and in some cases cure, the condition. The authoritative text has been skilfully illustrated to show how new methods of endovascular and endoscopic interventions can be integrated with radiologic techniques to correct totally the abnormalities which produce chronic venous insufficiency. Taken as a whole this volume will enable general surgeons, vascular surgeons, dermatologists and interventional radiologists to treat a condition that was, until recently, thought to be untreatable.
List of contents
Section A Basic Considerations.- 1 Epidemiology of Chronic Venous Insufficiency.- 2 Risk Factors in Chronic Venous Insufficiency.- 3 Pathogenesis of Chronic Venous Insufficiency.- 4 Venous Anatomy of the Lower Extremity.- Section B Primary Venous Insufficieny.- 5 Practical Application of the CEAP Classification.- 6 Compression Sclerotherapy for Large Veins and Perforators.- 7 Principles and Technique of Ambulatory Phlebectomy.- 8 Surgery of the Saphenous Veins.- 9 Recurrent Varices.- Section C Chronic Severe Venous Insufficiency.- 10 Mascosclerotherapy for Patients with Severe Chronic Venous Insufficiency.- 11 Surgery of Perforating Veins.- 12 Single-Port Open-Scope Perforator Vein Surgery.- 13 Management of Venous Ulceration: Excision, Skin Grafting and Microsurgical Flaps.- 14 Venous Reconstruction: Evidence-Based Analysis of Results.- Section D Thrombosis and Thrombolysis.- 15 Disorders Predisposing to Venous Thromboembolism.- 16 Thrombolysis, Angioplasty, and Stenting.- 17 Endovascular Therapy for Chronic Venous Obstruction.
