Endoscopic subfascial sectioning of incompetent perforating veins in treatment of primary varicosis.

Abstract:

:Subfascial elimination of incompetent perforating veins is the most effective therapeutic principle in the treatment of trophic skin disorders associated with varicosis. A recently developed endoscopic technique allows accurate sectioning of perforating veins with direct observation of the veins and minor trauma. From November 1986 to July 1991 endoscopic sectioning of perforating veins was performed in 72 patients (103 legs). The most frequently transected perforating veins were Cockett's veins (n = 219), 24 cm perforating veins (n = 83), and Boyd's perforating veins (n = 82). Postoperative delayed wound healing was observed in 3 (2.9%) legs with pronounced trophic skin disorders in the lower extremities. Two patients complained of dysesthesia in the area of distribution of the sural nerve. Further complications recorded were extended subcutaneous hematoma in 6 (5.8%) legs and postoperative dysesthesia in the area of distribution of the saphenous nerve in 10 (9.7%) legs. At follow-up examination (mean 27 months postoperatively) clinical investigation and Doppler sonography showed newly formed incompetent perforating veins in only 2 lower legs. Radiography at follow-up revealed one incompetent Dodd's perforating vein in 1 leg, which was the starting point of pronounced recurrent varicosis in the lower leg. After an average follow-up of greater than 2 years, we recorded the occurrence of new varices in 9 lower legs. Staging of chronic venous incompetence showed an upward trend ranging from change to a more favorable stage to complete cure. Findings were unchanged in only 10% of the patients. There was no case of postoperative aggravation.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Jugenheimer M,Junginger T

doi

10.1007/BF02067007

keywords:

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

971-5

issue

5

eissn

0364-2313

issn

1432-2323

journal_volume

16

pub_type

杂志文章
  • Special variants of differentiated thyroid cancer: does it alter the extent of surgery versus well-differentiated thyroid cancer?

    abstract:INTRODUCTION:Recently, more aggressive variants of so-called well-differentiated thyroid carcinomas have been identified such as the tall cell variant, columnar cell variant, diffuse sclerosing variant, insular carcinoma, and Hürthle cell (oncocytic, oxyphilic) carcinomas. METHODS:An evidence-based review was performe...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-006-0837-3

    authors: Carling T,Ocal IT,Udelsman R

    更新日期:2007-05-01 00:00:00

  • Retrospective Analyses of Esophageal Bypass Surgery for Patients with Esophagorespiratory Fistulas Caused by Esophageal Carcinomas.

    abstract:BACKGROUND:Esophagorespiratory fistula (ERF) caused by esophageal carcinoma is a fatal complication. In our institution, esophageal bypass surgery has been indicated when possible. We herein retrospectively describe the clinical results of esophageal bypass surgery for ERF. PATIENTS AND METHODS:Between April 2001 and ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3391-z

    authors: Nakajima Y,Kawada K,Tokairin Y,Miyawaki Y,Okada T,Miyake S,Kawano T

    更新日期:2016-05-01 00:00:00

  • Fecal urge incontinence after stapled anopexia for prolapse and hemorrhoids: a prospective, observational study.

    abstract:BACKGROUND:Stapled anopexia was introduced as a surgical method in 1993. Long-term data with special interest in functional results and relapse symptoms are rarely presented. Urinary discomfort and problems with fecal urge incontinence are addressed as severe side effects. We present our long-term results (using data f...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9818-z

    authors: Schmidt J,Dogan N,Langenbach R,Zirngibl H

    更新日期:2009-02-01 00:00:00

  • "Modern Endovascular Therapy".

    abstract:INTRODUCTION:The past 25 years have been witness to a revolution in how vascular care is delivered. The majority of arterial and venous interventions have converted from open surgery to minimally invasive percutaneous endovascular procedures. METHODS:This surgical innovations symposium article reviews current endovasc...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05875-7

    authors: Blecha M,Gahtan V

    更新日期:2020-11-22 00:00:00

  • The evolving role of laparoscopy in colonic diverticular disease: a systematic review.

    abstract:BACKGROUND:A PubMed search of the biomedical literature was carried out to systematically review the role of laparoscopy in colonic diverticular disease. All original reports comparing elective laparoscopic, hand-assisted, and open colon resection for diverticular disease of the colon, as well as original reports evalu...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-012-1872-x

    authors: Gaertner WB,Kwaan MR,Madoff RD,Willis D,Belzer GE,Rothenberger DA,Melton GB

    更新日期:2013-03-01 00:00:00

  • Efficacy and safety of Seprafilm for preventing postoperative abdominal adhesion: systematic review and meta-analysis.

    abstract:BACKGROUND:There is no clear consensus on the efficacy and safety of hyaluronate-carboxymethylcellulose membrane (Seprafilm) for preventing postoperative abdominal adhesion. This study is a meta-analysis of the available evidence. METHODS:A search of the MEDLINE, EMBASE, and the Cochrane Library identified eight studi...

    journal_title:World journal of surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00268-007-9242-9

    authors: Zeng Q,Yu Z,You J,Zhang Q

    更新日期:2007-11-01 00:00:00

  • Clinicopathologic characteristics and postoperative outcome in Japanese and Chinese patients with thoracic esophageal cancer.

    abstract::We evaluated the clinicopathologic findings and surgical results of 140 patients with thoracic esophageal cancer treated at Shinshu University, Japan (Shinshu group), and compared them with those from 1164 patients treated at Hebei Medical College, China (Hebei group) to determine if the two groups showed any differen...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900053

    authors: Adachi W,Koike S,Nimura Y,Koide N,Iida F,Du XQ,Ping YM,He M,Chen LQ,Zhang MD,Zhang HL

    更新日期:1996-03-01 00:00:00

  • Nerve-identifying inguinal hernia repair: a surgical anatomical study.

    abstract:BACKGROUND:Pain syndromes of somatic and neuropathic origin are considered to be the main causes of chronic pain after open inguinal hernia repair. Nerve-identification during open hernia repair is suggested to be associated with less postoperative chronic pain. The aim of this study was to define clinically relevant s...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-006-0376-y

    authors: Wijsmuller AR,Lange JF,Kleinrensink GJ,van Geldere D,Simons MP,Huygen FJ,Jeekel J,Lange JF

    更新日期:2007-02-01 00:00:00

  • Technetium-99m-MIBI SPECT/CT in primary hyperparathyroidism.

    abstract::The novel trend toward focused parathyroidectomy requires precise preoperative localization of the parathyroid adenoma in patients with primary hyperparathyroidism (PHPT). The present study evaluated the impact of hybrid single photon emission computed tomography/computed tomography (SPECT/CT), using 99mTc-sestamibi (...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-7849-2

    authors: Krausz Y,Bettman L,Guralnik L,Yosilevsky G,Keidar Z,Bar-Shalom R,Even-Sapir E,Chisin R,Israel O

    更新日期:2006-01-01 00:00:00

  • A tale of two celts.

    abstract::The eponym "Graves' disease" is usually applied to the condition of immunogenic hyperthyroidism, in no small part due to the promotion and influence of the French physician Armand Trousseau who wrote in 1862, "Du Goître Exophthalmique, ou Maladie de Graves." However, the distinguished Bath physician Caleb Hillier Parr...

    journal_title:World journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/s00268-009-0297-7

    authors: Wheeler MH

    更新日期:2010-06-01 00:00:00

  • Redifferentiation therapy with retinoids: therapeutic option for advanced follicular and papillary thyroid carcinoma.

    abstract::During the course of tumor progression the differentiated morphologic and functional characteristics of differentiated thyroid carcinomas (DTC) disappear. This corresponds to more aggressive growth, metastatic spread, and loss of iodine uptake. Experimental data give strong evidence that differentiated functions of io...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900436

    authors: Simon D,Koehrle J,Reiners C,Boerner AR,Schmutzler C,Mainz K,Goretzki PE,Roeher HD

    更新日期:1998-06-01 00:00:00

  • Basic physics and imaging characteristics of ultrasound.

    abstract::The imaging characteristics of diagnostic ultrasound (US) are determined by the ultrasonic properties of tissue. The velocity of propagation of US and the attenuation are the 2 most important parameters. These determine the frequency with which the tissues may be imaged, which in turn sets a fundamental limit on the a...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689910026

    authors: Kossoff G

    更新日期:2000-02-01 00:00:00

  • Are the results of pancreatectomy for pancreatic cancer improving?

    abstract::Although pancreatectomy is still performed in a few patients with pancreatic cancer, and nearly all patients who develop pancreatic cancer eventually die of their disease, significant improvements have been made recently. Pancreatectomy is now safer, with major morbidity (hemorrhage, pancreatic anastomotic leak, intra...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900599

    authors: Tsiotos GG,Farnell MB,Sarr MG

    更新日期:1999-09-01 00:00:00

  • Postoperative Peritonitis After Digestive Tract Surgery: Surgical Management and Risk Factors for Morbidity and Mortality, a Cohort of 191 Patients.

    abstract:BACKGROUND:Postoperative peritonitis (POP) following gastrointestinal surgery is associated with significant morbidity and mortality, with no clear management option proposed. The aim of this study was to report our surgical management of POP and identify pre- and perioperative risk factors for morbidity and mortality....

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4687-6

    authors: Bensignor T,Lefevre JH,Creavin B,Chafai N,Lescot T,Hor T,Debove C,Paye F,Balladur P,Tiret E,Parc Y

    更新日期:2018-11-01 00:00:00

  • Irradiated trauma victims: the impact of ionizing radiation on surgical considerations following a nuclear mishap.

    abstract::The combination of conventional traumatic injuries and radiation exposure has synergistic consequences, the full extent of which may take days to weeks to become apparent. Our understanding of such is derived from a variety of laboratory and clinical scenarios involving both therapeutic and accidental exposures. When ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF02066992

    authors: Hirsch EF,Bowers GJ

    更新日期:1992-09-01 00:00:00

  • The treatment of complicated groin and incisional hernias.

    abstract::One hundred years ago, Edoardo Bassini said: "L'ernia é una malattia meccanica." Before that, Ambroise Paré (1598) and Joseph-Pierre Desault (1798) asserted the mechanical nature of strangulation. Beside strangulation, the most serious of all complications even today, I have studied huge hernias, which are natural com...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01658869

    authors: Stoppa RE

    更新日期:1989-09-01 00:00:00

  • Prospective Risk Factor Analysis for the Development of Post-operative Urinary Retention Following Ambulatory General Surgery.

    abstract:AIMS:Post-operative urinary retention (POUR) is a common cause of unplanned admission following day-case surgery and has negative effects on both patient and surgical institution. We aimed to prospectively evaluate potential risk factors for the development of POUR following day-case general surgical procedures. METHO...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4697-4

    authors: Scott AJ,Mason SE,Langdon AJ,Patel B,Mayer E,Moorthy K,Purkayastha S

    更新日期:2018-12-01 00:00:00

  • Diaphragm myoplasty in the prevention of complications after surgery of hydatid disease of the liver.

    abstract::A variety of techniques have been used for surgical treatment of hepatic hydatid cysts. The objective of this study is to describe the technique of diaphragm myoplasty, and to present our experience in the treatment of selected patients with hydatid disease of the liver by means of this alternative surgical technique....

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-002-6558-3

    authors: Dosios T,Kouraklis G,Karatzas G

    更新日期:2003-02-01 00:00:00

  • Is there a role for selective axillary dissection in breast cancer?

    abstract::Surgery is the most effective therapeutic intervention available for the treatment of breast cancer. It has been responsible for obtaining local control and long-term disease-free intervals in more patients over the past century than any other treatment modality. Trends toward earlier stage at diagnosis are likely to ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-001-0010-y

    authors: Gemignani ML,Borgen PI

    更新日期:2001-06-01 00:00:00

  • Synergistic Effects of Forensic Medicine and Traumatology: Comparison of Clinical Diagnosis Autopsy Findings in Trauma-Related Deaths.

    abstract:BACKGROUND:Trauma is the third leading cause of death worldwide after cardiovascular and oncologic diseases. Predominant causes of trauma-related death (TD) are severe traumatic brain injury (sTBI), hemorrhagic shock, and multiple organ failure. An analysis of TD is required in order to review the quality of trauma car...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05347-7

    authors: Schmidt U,Oramary D,Kamin K,Buschmann CT,Kleber C

    更新日期:2020-04-01 00:00:00

  • Pre-operative radiotherapy prolongs survival in operable esophageal carcinoma: a randomized, multicenter study of pre-operative radiotherapy and chemotherapy. The second Scandinavian trial in esophageal cancer.

    abstract::In a prospective multicenter study, 186 patients with squamous cell esophageal carcinoma, who after evaluation were considered suitable for surgery, were randomized to 4 treatment groups: Group 1, surgery alone; Group 2, pre-operative chemotherapy (cisplatin and bleomycin) and surgery; Group 3, pre-operative irradiati...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1007/BF02067069

    authors: Nygaard K,Hagen S,Hansen HS,Hatlevoll R,Hultborn R,Jakobsen A,Mäntyla M,Modig H,Munck-Wikland E,Rosengren B

    更新日期:1992-11-01 00:00:00

  • Task Shifting: The Use of Laypersons for Acquisition of Vital Signs Data for Clinical Decision Making in the Emergency Room Following Traumatic Injury.

    abstract:IMPORTANCE:In resource-limited settings, identification of successful and sustainable task-shifting interventions is important for improving care. OBJECTIVE:To determine whether the training of lay people to take vital signs as trauma clerks is an effective and sustainable method to increase availability of vital sign...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4121-5

    authors: Haac BE,Gallaher JR,Mabedi C,Geyer AJ,Charles AG

    更新日期:2017-12-01 00:00:00

  • Study on the use of T-tube for patients with persistent duodenal fistula: is it useful?

    abstract:BACKGROUND:The commonest surgical treatment used for peptic ulcer perforation is omental patching. If, however, the perforation leaks, it rarely heals by itself due to persistence of duodenal fistula (DF). We present our experience with a T-tube placed into the DF for better outcome of the patients. METHODS:All patien...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-013-2196-1

    authors: Gupta V,Singh SP,Pandey A,Verma R

    更新日期:2013-11-01 00:00:00

  • Pathologic aspects of gastrinomas in patients with Zollinger-Ellison syndrome with and without multiple endocrine neoplasia type I.

    abstract::During the three decades since the recognition of the Zollinger-Ellison syndrome (ZES), major progress has been made in the diagnosis and treatment of this disease. However, the many failed operations in patients with ZES, the existence of primary lymph node gastrinomas, and the surgical approach of patients with ZES ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01655107

    authors: Pipeleers-Marichal M,Donow C,Heitz PU,Klöppel G

    更新日期:1993-07-01 00:00:00

  • VEGF-D correlates with metastatic disease in gastric cancer patients undergoing surgery.

    abstract:BACKGROUND:The present study was designed to evaluate the impact of the tyrosine kinase ligands VEGF-A/C/D, PDGF-A/B on tumor dissemination and survival in gastric cancer. This is the first study analyzing all these parameters in a homogeneous patient population undergoing surgery. METHODS:The expression pattern of VE...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-011-1041-7

    authors: Schimanski CC,Schlaegel F,Jordan M,Moehler M,Sgourakis G,Drescher DG,Galle PR,Lang H,Gockel I

    更新日期:2011-05-01 00:00:00

  • Early Seizure Prophylaxis in Traumatic Brain Injuries Revisited: A Prospective Observational Study.

    abstract:INTRODUCTION:Pharmacological prophylaxis for early seizures following traumatic brain injury (TBI) is a recommendation in the Brain Trauma Foundation Guidelines. However, several studies have challenged the efficacy and safety of this practice, resulting in varied practice across centers around the world. The purpose o...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4373-0

    authors: Khor D,Wu J,Hong Q,Benjamin E,Xiao S,Inaba K,Demetriades D

    更新日期:2018-06-01 00:00:00

  • Carcinoembryonic antigen levels in the peritoneal cavity: useful guide to peritoneal recurrence and prognosis for gastric cancer.

    abstract::At the time of laparotomy, peritoneal washings were collected from 155 gastric cancer patients and the levels of carcinoembryonic antigen (CEA) determined. The CEA levels in peritoneal washings were statistically independent of those in sera and could more reliably predict the presence of peritoneal metastasis than a ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF00316997

    authors: Nishiyama M,Takashima I,Tanaka T,Yoshida K,Toge T,Nagata N,Iwamori S,Tamura Y

    更新日期:1995-01-01 00:00:00

  • Current concepts in inguinal hernia in infants and children.

    abstract::Trends are changing in the management of infants and children with indirect inguinal hernias. Advances in neonatal intensive care have resulted in the survival of many small premature infants who have a high incidence of inguinal hernia. The rate of incarceration, strangulation, and gonadal infarction in these babies ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01658863

    authors: Grosfeld JL

    更新日期:1989-09-01 00:00:00

  • Comparative study of carbohydrate antigen 195 and carcinoembryonic antigen for the diagnosis of pancreatic carcinoma.

    abstract::The expression CA195 in serum, defined by monoclonal antibody CC3C195 (IgM), was studied in 67 patients with pancreatic cancer and in 138 patients with biliary or pancreatic benign disease. The results were compared with carcinoembryonic antigen (CEA) expression. The overall sensitivity of the CA195 assay (> 12 U/ml) ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/pl00013182

    authors: Andicoechea A,Vizoso F,Alexandre E,Martínez A,Cruz Díez M,Riera L,Martinez E,Ruibal A

    更新日期:1999-03-01 00:00:00

  • Clinical features of hepatocellular carcinoma developing extrahepatic recurrences after curative resection.

    abstract:BACKGROUND:Few details of the clinical features of hepatocellular carcinoma (HCC) developing extrahepatic recurrence after a curative resection have been published. The purpose of this study was to clarify the clinicopathologic findings of patients with HCC who experienced extrahepatic metastases. METHODS:Clinicopatho...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9613-x

    authors: Tanaka K,Shimada H,Matsuo K,Takeda K,Nagano Y,Togo S

    更新日期:2008-08-01 00:00:00