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Basic Data Underlying Clinical Decision Making SECTION EDITOR: Lloyd M. Taylor, MD Surgical Management of Chronic Venous Insufficiency Victor]. Weiss, MD, Scott M Surowiec, MD, and Alan B. Lumsden, MB ChB, Atlanta, Georgia The treatment for patients with chronic venous in present. This typically includes a clinical, physi sufficiency has traditionally been aimed at symp ologic, and radiologic assessment to identify ob tomatic improvement. Leg elevation and compres struction and/or reflux if present and the location of sion stockings to control edema, and local wound the involved venous segments, particularly superfi care for ulcerations often provide adequate pallia cial, deep, or perforator incompetence. Distinguish tion of the disease process, but leave an otherwise ing primary valvular incompetence from secondary active patient with ambulatory restrictions, doctor valvular incompetence as a sequelae of the post visits, and occasional hospitalization. phlebitic state is of paramount importance when Progress has been made since the late 1950s in planning surgical intervention, as the treatment of the surgical management of the most severe forms these different entities varies. of chronic venous insufficiency. Thanks to advances A goal of surgical intervention for chronic ve in imaging and physiologic testing we are now able nous insufficiency should
Annals of Vascular Surgery – Springer Journals
Published: Feb 17, 2014
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