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Biomedical subjects

R Muller

Publications and source records attributed to R Muller.

137 records · Page 8Linked to original sources
PubMedDate not supplied

[Ambulatory phlebectomy].

Being disappointed in the failures of sclerotherapy in varicose veins, the author resorted to ambulatory phlebectomy. Through very tiny incisions (0.5 to 1 mm) the varicose veins are prepared and completely removed. The arch and the proximal part of the internal saphenous vein are left to the surgeon. This technique described 2,000 years ago by Celsus is easy, effective and innocuous, leaves no marks (no stiches or ligatures) and is also inexpensive because of asepsis, antisepsis and anesthesia. A critical review of 1000 of our cases discloses 70 per cent excellent results. The 30 per cent of accidents were benign and transitory. This technique is almost ideal : A harmless cure that improves the appearance of all type of patients with varicose vein.

Ambulatory Care↗
PubMedDate not supplied

[Esthetics in phlebology].

Varicose veins are ugly, but the cure should not be worse than the disease. Surgery should aim to avoid unsightly scars. Crossectomy and short stripping of the long saphenous vein only require a 4 cm incision in the inguinal crease and a 4 to 6 mm incision in the mid-thigh and the knee. All of the other varices can be completely eliminated by mini-incisions (0.5 to 1 mm) during outpatient phlebectomy which eliminates the need for sclerosant injections, prevents recurrence of the veins and the development of fibrous bands and complex stains caused by "varicose cadavers". These stains can be eliminated by: a) total extraction of the poorly resorbed varicose cord, b) microsclerosis of the telangiectases and c) several months later, cryotherapy to the melanic spots.

Esthetics↗
PubMedDate not supplied

[Leg ulcers].

In regard to their aetiology and pathogenesis, leg ulcers are considered from the viewpoint of angiology (arteries, deep and superficial veins). Their principal cause is Chronic Venous Insufficiency. The basis of treatment is to eliminate CVI in varicose veins by suppressing the varices and reducing the CVI in post-thrombotic disease. Local treatment is based on compression and begins with the elimination of infection and necrosis, followed by granulation and epithelialization. It is important to prevent recurrences by hygienic measures and especially by the eradication of varices in the ambulant patient.

Humans↗