[Infra-fascial ligation of incompetent perforating veins for cure of varicose ulcer (author's transl)].
This is a series of 141 varicoses ulcers operated within 3 years (1971 to 1974), all with infra-fascial ligation of incompetent perforating veins (technique of Cockett-Linton). The author describes 3 combined methods used to obtain the most precise diagnosis of the venous insufficiency: A. Careful physical examination for axial or perforating imcompetence. B. Systematic phlebography for search of deep networks, of perforating veins and discovery of particular superficial venous networks. C. Ultrasonic Doppler technique for search of incompetent perforating veins. Surgical cure is described, based on this precise diagnosis, aiming at ligation of axial and of perforating veins under the fascia, level with the deep network. The results are encouraging as there were only 3 recurrences within 3 years after the 141 operations. These were reoperated after phlebographic control.
D000328:Adult; D000368:Aged; D004301:Doppler Effect; D005260:Female; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011859:Radiography; D012008:Recurrence; D012501:Saphenous Vein / Q000601:surgery; D014647:Varicose Ulcer / Q000000981:diagnostic imaging / Q000601:surgery*; D014680:Veins / Q000601:surgery*
La ligature sous-aponévrotique des perforantes incontinentes dans la cure de l'ulcére variqueux