title: [Ambulatory and hemodynamic treatment of venous insufficiency (CHIVA cure). Report of an atypical case].
abstract: After a brief introduction describing the principle, strategy and tactics of hemodynamic treatment of venous insufficiency in ambulant patients, the following atypical case is described. Ms P., aged 38 years, presented a functional symptomatology including waking at night and was obliged to get out of bed. Varices were moderately visible but she asked for treatment for esthetic reasons. A future pregnancy was discounted. Clinical examination and the pulsed ultrasound-Doppler cartogram showed incontinence of the internal perineal, opening from the genitofemoral fold and rejoining the summit of Jacomini's vein arch. The dorsal segment of Jacomini's vein was incontinent with a retrograde flux and rejoined an incontinent short saphenous continuing as a type III shunt. The cartogram obtained, the strategy decided and the intervention carried out on 19 June 1990 are illustrated by photographs. At 4 month follow up and despite the heat wave of summer 1990, all functional signs had disappeared and a sufficiently esthetic result had been obtained. Unexpectedly, the patient announced that she was pregnant.
authors.affiliation: Centre Hospitalier, Château-Gontier.
authors.forename: M
authors.initials: M
authors.lastname: Bailly
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D014463:Ultrasonography; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*
vernacular_title: La cure hémodynamique de l'insuffisance veineuse en ambulatoire (CHIVA). Présentation d'un cas particulier.