[On the conservative treatment of primary varicosis].
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Biomedical subjects
Publications and source records attributed to R Stemmer.
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It has been shown that the frequency of deep thromboses of the lower limbs increases with the weight of the patient. Post-phlebitic syndromes ought, therefore, to occur more frequently in obese patients. On the other hand, the role of ponderal overloading as an exacerbating factor in post-phlebitic syndrome can only be proved indirectly.
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45 patients suffering from varicose veins with or without a chronic insufficiency up to stage II, took 1, 2 or 3 g of Oc-beta hydroxyerhylrutoside P.O. Photo reflexometry and plethysmography with mercury gauge demonstrated the results. The various parameters showed the medication to be effective after 10 and 21 days of treatment. A dosage adjusted to the gravity of the venous involvement improves the venous pump of the leg and therefore the venous return.
The tenet of the constancy of Cockett's perforating vessels does not hold against anatomical studies. They perforate the fascia at various levels as their relationship to Linton's line also vary. Finally, they originate, most of the time, from the communicating veins connecting the posterior leg branch and the internal saphenous vein.
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The anatomic account brings to bear particularly on anomalies of the affluents and the various forms of long saphenofemoral junctions. The different anastomoses of short saphenous veins are also described. Following the anatomic account there is a run-down of the history of these disorders and of mainstream current views of their treatment.
A description using electronic microscope examinations the ultrastructural modifications affecting myocytes and the intercellular substance of the walls of varicose veins. They also have an effect on the biochemical composition of the intercellular substance.
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