The role of the perforating veins in the physiopathology and treatment of varicose disorder and of post-phlebitic syndromes is the subject of this study, based on the results of 5 000 observations of surgery of the veins in the lower limbs. Neglect of the perforators is responsible for a sizeable percentage of relapse after the simple stripping of the saphenous axes. In post-phlebitic syndrome and, more particularly, in trophic disorders, they play a major part, and ought to be the object of thorough investigation, using clinical examination, the Doppler and phlebography.

Humans↗

PubMedDate not supplied

[Cockett's syndrome].

Two personal cases from the pretext for a short discussion on the syndrome defined by Cockett in 1965. The condition is a post-phlebitic syndrome localised to the left common iliac vein. This vein, which is crossed by the right common iliac artery, is in fact the site, at the level of this crossing, of intraluminal and extraluminal lesions whose nature and significance are controversial. The clinical manifestations are those of a severe post-phlebitic syndrome and the classical medical treatments are often inadequate. Surgery can bring about improvement, but its indications must be carefully assessed.

Adult↗

PubMedDate not supplied

[Venous insufficiency of the lower limbs. Controlled study of the action of Cyclo 3].

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Adult↗

PubMedDate not supplied

[Repeated surgery in recurrences following operation for essential varices].

Among 2,129 patients operated on between 1964 and 1976, we found 109 postoperative recurrences requiring a repeated operation. The causes of recurrence are various, but in the majority of cases, it results from an operative mistake. Most commonly (69 cases) there is a defective removal of the arch of the internal saphenous vein. Next, in order of frequency, is a recurrence along the course of the internal saphenous vein (28 cases) which has either not been stripped at all or only partially stripped (recurrence on the sural internal saphenous). "Neglected" external saphenous was found 29 times. Sometimes it had been insufficiently resected (6 cases). Finally, one of the commonest causes of recurrence is due to an eccentric perforating vein which has been neglected in the course of the stripping (35 cases). Very often these different lesions are combined. Repeated surgery must be radical and carefully performed and the patient should be followed up regularly by a phlebologist.

Humans↗