title: [Surgery of the perforating veins in chronic venous diseases of the lower limbs].
abstract: After a brief anatomical reminder, the author discusses the place of surgery of the perforating veins in chronic venous deficiency, in three distinct aetiological and clinical circumstances: A first-hand prospective study of 220 successive operations for primary varices is analysed. In 14.5% of the cases, ligation of the perforators was associated with the stripping. In a retrospective analysis relating to 100 surgical reoperations on primary varices, the ligation of the perforators was associated with a different procedure in 13 of these patients. Finally, the author specifies the place of surgery of the perforators in the treatment of post-phlebitic syndrome. As regards the relapsing ulcer, 81% of the patients who had benefitted from this procedure never suffered relapsed ulcers (27 patients).
mesh_terms: D002908:Chronic Disease; D006801:Humans; D010690:Phlebography; D011183:Postoperative Complications / Q000209:etiology; D011186:Postphlebitic Syndrome / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D012086:Reoperation; D012189:Retrospective Studies; D012212:Rheology; D014648:Varicose Veins / Q000175:diagnosis / Q000601:surgery*
vernacular_title: La chirurgie des perforantes dans les affections veineuses chroniques des membres inférieurs.