By S. Sarin (auth.), Shukri K. Shami MB BS, FRCS(Ed), MS, Timothy R. Cheatle MS FRCS(I) (eds.)
Professor George Fegan is a global authority at the use of sclerotherapy for the therapy of varicose veins. His approach for injecting varicose veins is seemed through many to be the simplest approach for reaching luck with sclerotherapy. Professor Fegan first released his technique in 1963. This publication is an replace to his earlier paintings and describes his technique step-by-step in addition to correct details at the anatomy, body structure, pathology and investigations of varicose veins. Sclerotherapy is discovering its position as an efficient weapon within the phlebologist's armamentarium, and its symptoms have gotten clearer. All enthusiastic about the care of sufferers with venous disorder will locate this a useful read.
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Additional resources for Fegan’s Compression Sclerotherapy for Varicose Veins
This is seen easily as an upward deflection of the trace when using a bidirectional Doppler system in connection with a chart recorder, or its characteristic sound can be sought without such complexity. The popliteal fossa can be examined similarly, searching for popliteal vein or SSV reflux. Narrow cuffs or tourniquets can be used to compress the superficial veins and assist in the differentiation of superficial from deep venous reflux. This method has the inherent difficulty that it is qualitative; more importantly, it is difficult to determine which vein is being examined, particularly in the popliteal fossa.
It is a complex change involving valve sinus distension, which tightens the edges of the cusps by separating the commissures. Because of the spiral disposition of the elastic fibres and smooth 21 Applied Physiology of the Veins of the Lower Limb muscle, circumferential strips of vein are slightly less elastic than longitudinal strips. By contrast, circumferential strips from the valve sinus are more elastic. This enables the sinus to balloon out more easily and turn the combined cavities of the two valve sinuses into a sphere.
If these pressures are taken into account, then it can be shown that well-perfused systemic capillaries are commonly in a state of filtration over their entire length. Transient absorption may occur following vasoconstriction, but it cannot be maintained since Pii would increase and Pi would decrease. These changes would therefore abolish the net absorptive force and absorption would fade with time. Landis, in his classic experiment in 1927, presumably observed only the transient state of absorption at low capillary pressures rather than the steady state observed by Michel and Phillips in 1987.
Fegan’s Compression Sclerotherapy for Varicose Veins by S. Sarin (auth.), Shukri K. Shami MB BS, FRCS(Ed), MS, Timothy R. Cheatle MS FRCS(I) (eds.)