Webmedcentral - Vascular surgery ArticlesThe Vascular surgery articles published by Webmedcentral
http://www.webmedcentral.com
2024-03-29T08:33:38+01:00webmedcentral logo
http://www.webmedcentral.com/
http://www.webmedcentral.com/images/Header_Logo.giftext/html2010-11-22T16:20:21+01:00http://www.webmedcentral.com/Mr. Zaher ToumiEndovenous Laser Therapy for Varicose Veins: Primary Treatment of Branch Varicose Veins Might Not Be Necessary
http://www.webmedcentral.com/article_view/1203
Aims and Background: There is an uncertainty in regards to management of branch varicose veins after EVLT. The aim of this audit was to find out if patients treated with EVLT had good clinical outcome and whether they required further procedures for their varicose veins Methods: We searched a prospective theatre database for EVLT under a single vascular surgeon. We reviewed patients' discharge and clinic letters.Results: Over 1 year period, 92 legs were treated with EVLT with no primary treatment of branch varicose veins. Patients aged between 21 and 79 (median 49). 71 patients attended for follow up post EVLT. Out of 71 legs which attended for follow up, only 26 (38%) legs required further treatment. Out of 26 legs, 6 had treatment in first FU appointment (all injection sclerotherapy). Twenty patients had treatment in day case unit. The treatments given to those 20 patients were as follows (1 had avulsions, 1 USS guided Foam sclerotherapy and 18 had injection sclerotherapy). Out of these 20 patients, only one patient required another episode of injection sclerotherapy.There was not a significant difference between the two groups (no further treatment vs. further treatment) in regards to age (P=0.45), length of time between OPA and treatment (p=0.67), length of time between treatment and first FU (p=0.29). The only significant difference was that more females (19/45) required further treatment than males(7/25)(42% vs 28% p=0.046)Eight legs (9%) had 9 complications: 4 complications happened as the result of EVLT(Haematoma, Sensitive skin *2, Angina attack ). 5 complications happened after injection sclerotherapy ( Ulceration*1, Bruising *2, Discomfort *1, Thrombophlebitis *1)Conclusions: EVLT is an effective method to treat varicose veins. It had been introduced to safely with high success and low complication rates.Our algorithm of not performing primary treatment for superficial varicosities and reserving injection sclerotherapy for those who have residual varicosities seemed effective. It might not be necessary to treat branch varicose veins primarily and reserve treatment for unregressing veins.text/html2011-03-18T14:41:18+01:00http://www.webmedcentral.com/Mr. James M WilliamsonTraumatic True Aneurysm of the Superficial Temporal Artery
http://www.webmedcentral.com/article_view/1722
A 40-year old male rugby player presented with a over his left eyebrow. He developed a lump after clashing heads (with another player) during training some 4 weeks previously. He was otherwise well, but complained of continuing pain in the region. Of note, he had had a previous excision of a traumatic temporal artery on the right hand side 8-years previously. Examination findings confirmed the presence of a 1cm soft pulsitile swelling consistent with a traumatic aneurysm. Duplex ultrasound revealed an aneurismal (3mm diameter) section of the left superficial temporal artery (figure 1).A linear incision over the left temporal region identified the aneurismal section of artery (figure 2). The patient underwent a successful ligation and excision of the aneurismal section under local anaesthetic. Histological examination revealed a true aneurysm, with no break in the vessel wall and regenerative vascular proliferation.text/html2011-07-26T19:03:08+01:00http://www.webmedcentral.com/Dr. Antonio ManentiAbdominal Aortic Aneurysm with a Double Acute Complication: Simultaneous Rupture in the Retroperitoneum and into the Inferior Vena Cava.
http://www.webmedcentral.com/article_view/2042
An unusual case of abdominal aortic aneurysm with simultaneous rupture in the retroperitoneum and in the inferior vena cava is reported. The patient presented with clinical signs of hemorrhagic shock, peripheral venous congestion and acute renal failure. An urgent contrast-enhanced computed tomography was performed , leading to an accurate diagnosis , and straight to surgery.