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Title Saphenous vein-sparing strategies in chronic venous disease / Paolo Zamboni, Erika Mendoza, Sergio Gianesini, editors
Published Cham, Switzerland : Springer, [2018]
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Description 1 online resource
Contents Intro; Foreword; Preface; Contents; Contributors; Part I: Background; 1: Historical Background and Rationale; 1.1 Historical Background; 1.1.1 Anatomy and Physiology; 1.1.2 Vein Wall Recovery; 1.1.3 Comparative Studies Between Ablative and Saphenous Vein Sparing Surgery; 1.2 Rationale; Literature; 2: Functional Anatomy of Leg Veins; 2.1 Introduction; 2.2 Anatomical Compartments; 2.2.1 Muscular Compartment; 2.2.2 Epifascial Compartment; 2.2.3 The Fascial Compartment of the Saphenous Veins; 2.2.4 Schematic Representation of Venous Networks; 2.3 Hierarchical Order of Emptying
2.3.1 Anatomical Aspects of the Venous Drainage2.3.2 Blood Flow in the Different Compartments; 2.4 Perforator Anatomy and Pathophysiological Significance; 2.4.1 Classification and Anatomy of Perforating Veins; 2.4.2 Flow Direction Through Perforating Veins; 2.4.3 Perforating Veins as Equalizers Between the Compartments; 2.4.4 Clinical and Therapeutical Implications of Incompetent Perforating Veins; 2.5 Venous Valves; 2.6 Histology of the Venous Wall; 2.6.1 Histology of the Saphenous Veins and Epifascial Branches; 2.6.2 Histology of the Venous Wall and Physiological Implications
2.6.3 Compliance of the Venous Wall2.6.4 Wall Contraction of Control and Diseased Veins in Response to Physiologic Regulators of the Venous Tone; Literature; 3: Venous Reflux Patterns; 3.1 Venous Haemodynamics and Related Laws of Physics; 3.1.1 Why Does Blood Flow in a Vein?; 3.1.2 Physics Laws Applying to Venous Haemodynamics; 3.1.3 Relation of the Veins with the Surrounding Tissue; 3.1.4 Flow and Hydrostatic Pressure; 3.1.5 Laminar and Turbulent Flow; 3.2 Characteristics of Blood Flow in Leg Veins; 3.2.1 Definitions of Flow and Reflux
3.2.2 Velocity-Curve Shapes of Flow and Reflux3.2.3 Draining Versus Refluxing Flow; 3.3 Pathological Compartment Jumps; 3.4 Reflux Sources; 3.4.1 Reflux Sources from Deep Veins into Saphenous Trunk (N1 → N2); 3.4.2 Reflux Sources from Deep Veins into Varicose Tributaries (N1 → N3); 3.4.3 Reflux Sources from Saphenous Trunks into Tributaries (N2 → N3); 3.4.4 Retrograde Flow in Saphenous Veins with No Proximal Reflux Source; 3.4.5 Reflux Sources Above the Inguinal Ligament; 3.4.6 Bone Perforator Reflux; 3.5 Re-entry Points; 3.5.1 Re-entry from Saphenous Trunks (N2-N1)
3.5.2 Re-entry from Refluxive Tributaries to the Deep Veins (N3-N1)3.5.3 Flow Analysis in Perforating Veins; 3.5.4 Re-entry from a Tributary into a Saphenous Vein (N3-N2); 3.5.5 Re-entry from a Tributary Through a Poorly Drained Venous Network; 3.5.6 Drained and Poorly Drained Systems; 3.5.6.1 Drained System; 3.5.6.2 Poorly Drained System; 3.6 Combination of Reflux Sources and Re-entry Points; 3.7 Shunt Concept and Classification; 3.7.1 Closed Shunt; 3.7.2 Open Deviated Shunt; 3.7.3 Open Bypassing Shunt (Franceschi: Open Vicarious Shunt)
Summary This book is designed to equip the reader with a detailed knowledge of the pathophysiology of chronic venous disease and an understanding of the clinical benefits of restoring venous drainage by saphenous vein-sparing procedures, including minimization of invasiveness and reduction of the recurrence rate. All of the techniques currently available for vein-sparing strategies, including novel endovenous options, are clearly described and illustrated, with explanation of the role and value of recent technical innovations. The reader is guided through the entire management process, starting from diagnosis and proceeding through evaluation of the individual patient's needs to the successful implementation of appropriate treatment. In addition, the literature on relevant diagnostic and therapeutic protocols is thoroughly reviewed, covering all significant publications to the present day. The content is kept as simple as possible to help those new to the field. At the same time, the deep insights into theoretical and technical aspects will support even the most advanced specialists in their everyday practice
Bibliography Includes bibliographical references
Notes Description based on online resource; title from digital title page (viewed on June 12, 2018)
Subject Saphenous vein.
Veins -- Diseases -- Treatment.
Form Electronic book
Author Gianesini, Sergio, editor
Mendoza, Erika, editor
Zamboni, Paolo, editor
ISBN 3319706381 (electronic book)
9783319706382 (electronic book)