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Biomedical subjects

H R van der Molen

Publications and source records attributed to H R van der Molen.

At least 19 recordsLinked to original sources
PubMed1980

Vasoactive intra-arterial therapy in peripheral occlusive arterial disease (with follow-up after 6.5 years).

After a review of the history of intra-arterial treatment, our personal experience with a complex treatment of 900 cases of arteriopathy of the lower extremities is reported. The conservative treatment includes stopping smoking, plus diet, exercise, B and C vitamins, and administration of 1% xylocaine (lidocaine) in the femoral arteries. Antibiotics are added in patients with trophic lesions. When treatment is followed regularly, a great increase in walking distance and healing of acral lesions can be expected. Many amputations have been prevented. Even in patients in whom the femoral artery can be found only with Doppler ultrasonography, the results are gratifying.

Aged↗
PubMedDate not supplied

[Intermittent claudication. Its direct treatment using intra-arterial injections].

The treatment of intermittent claudication in our polyclinic is fivefold: general treatment of atherosclerosis including: suppression of nicotine intoxication, animal fats free diet replaced by vegetal diet (fish permitted) supply of vitamins B and C. Local treatment: increase of the vascularisation by: leg muscles exercises; frequently repeated intra-arterial injections, in the femoral artery, of 1 p. cent lidocaine which tend to decrease the vascular tone permanently by systematic destruction of the intramural sympathetic nodes (according to Henri Reboul).

Aged↗
PubMedDate not supplied

[Compression in lymphedema].

The author discusses the indications and contraindication of compression. The study of auto-immune complexes in the circulating blood has shown a significant increase in lymphedema patients with erysipeloid inflammations and a definite increase, but less marked, in lymphedema patients without a past history of fever. Then, the compression values are studied in the 5 stages of the treatment of lymphedema by compression: elevation with Thuasne 18 bandages, Lymphapress and if necessary Tubing (always general anesthesia) limited to the leg. For the thigh, lymphatic "drainage" is recommended. Then comes the walking bandage (non elastic !). Once the edema has disappeared, elastic stockings (compression e.g. 60 mm at the level of the malleolus) are custom made. Statistics of 57 cases, where the regular replacement of the stockings after 9 to 13 years was controlled, conclude the study.

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