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Biomedical subjects

R Stemmer

Publications and source records attributed to R Stemmer.

49 records · Page 3Linked to original sources

[The lymphatic system and the venous wall. Clinical aspects].

The differences between venous and reversible lymphatic oedema are minimal. Save a few rare exceptions, venous oedema are complicated at some stage by lymphatic oedema and become irreversible because of the fixation of water by the interstitial proteins and the hypertrophy of the conjunctival tissue.

Edema↗

[Noninvasive functional exploration using photoreflexometry].

Photoreflexometry measures the filling time of the intradermic venous plexus and quantifies the function of the venous pump in the leg. Thus it completes the other methods of venous functional investigation and provides data-figures on the seriousness of post-phlebitic illness. The essential interest of the non-invasive examination is that it makes it possible to read the phlebographic and therapeutic indications more discerningly.

Humans↗

[Photo-reflex rheography and diagnosis of deep venous thrombosis].

Photo-reflex-rheography is a noninvasive method of measuring the filling of the subcutaneous venous plexuses. Daily recording during the pre- and post-operative period permits comparison of the amplitude of the curves and measurement of the time for refilling. Any diminution of these two parameters suggestive of a deep vein thrombosis is an indication for phlebography.

Humans↗

The choice of compressive stocking.

Correct prescription of an elastic stocking necessitates a thorough acquaintance with the physiopathy of the disorder in question and also of the patient's psychological make up. Superficial venous pressure at the ankle when a patient presenting venous insufficiency walks, as is to be seen in the clinical picture, determines the strength of the compensatory compression of the stocking. The length of the stocking is determined by the spread of the disorder over the lower limb. The mensurations of the limb free of oedema determine the option of the stocking prescribed according to specific measurements and the stocking prescribed according to a standard series of measurements; it also determines the width and length of the latter. If a patient is obese or if his profession obliges him to stand for long, the choice will probably be of a high-compression stocking. The patient is consulted before thigh-stockings are prescribed. Before prescribing a stocking, the doctor must convince the patient that all other possibilities of treatment have been exhausted and that the compressive stocking is the only efficient support for his venous insufficiency. There ought to be as much care and caution in the choice and prescription of a medical compressive stocking as in the prescription of drugs.

Clothing↗

[Importance of elastic compression of the lower limbs in the prevention of venous thrombosis in digestive surgery].

A group of 25 patients having to undergo laparotomy were prescribed thrombo-embolic preventive stockings of graduated elasticity to be worm from 48 hours before the operation until 9 days afterwards. This group was compared to another group of 25 patients. The thromboses were detected using the fibrinogen test and the Doppler. This study demonstrates the efficiency of prophylactic anti-thrombotic stockings using graduated compression.

Adult↗