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[Technic of compression bandage].

Pressure bandaging is the basis of any phlebographic therapy. Since a good bandage should fit and hold well, there is need of special bandaging techniques. Any bandage encircling the leg evenly, slackening in pressure from distal to proximal regions and constricting nowhere is considered correct and good. We present our own technique of pressure bandaging, which meets with all these demands.

Bandages↗

[New aspects in the therapy of thrombosis and prevention of recurrence in pregnancy].

Therapy of phlebothrombosis during pregnancy general is carried out with heparin, in which case the initial hospital treatment may be continued later on with subcutaneous applications of heparin in the out-patient department. Regular clinical and apparative controls are performed during pregnancy within. Low dose heparin is injected up to the optimal dicumarol blood level (beginning with the 2nd day post partum) immediately pre-, intra- and postpartelly. - Coagulation analyses in 11 patients with former phlebothrombosis during pregnancy revealed no antithrombin III-deficiency, but hints to insufficient fibrinolysis in four cases.

Blood Coagulation Tests↗

[Treatment of venous-induced ulcer].

The therapy of venous ulcer comprises a variety of qualified methods applied either singly or in combination (Table 1). As many cases require catching up on necessary investigations, we recommend thorough examination before treatment in order to exclude causes other than venous ones; to reveal insufficient transfacial communications. The basic therapy consists of mobilisation and compression. According to the diagnosis, insufficient transfacial communications may be disrupted by means of surgical or sclerosing measurements. Supporting drug therapy, topically or internally may follow.

Clothing↗

[Ankylosis of the ankle and intractable post-phlebitic ulcer].

One of the causes of the intractable nature of some leg ulcers is the stiffening, then the ankylosis of the ankle. The consequences of the ankylosis are secondary to the physiology of walking by suppression of the muscular pump of the calf and that of the foot. The treatment must be preventive and this is possible only if ankylosis is systematically looked for in every longlasting leg ulcer.

Aged↗

[Substantiation of the extent of surgery in varicose veins of the lower extremities].

The authors have distinguished 2 forms of the varicose disease of lower extremities determining the volume of surgical operation. Since the "simple" form is characterized only by incompetent valves of the superficial veins, the radical veinectomy is thought to be a sufficient operation and gives a complete recovery of the adequate venous return. In patients with the 2nd form of the varicose disease the radical veinectomy only is not the optimal operative intervention. Ligation of incompetent perforated crus veins by super- or subfascial methods is indicated to such patients.

Humans↗

[Sclerotherapy of perforating veins. Technics, doses].

The majority of perforating veins react to the sclerosant treatment in the same way as the neighbouring varicose veins. The sclerosant treatment is therefore carried out in the majority of cases as if they did not exist. But in 15% of essential varices, and in 21% of post-phlebitic varices, it is altogether different. The dose of the product necessary to achieve sclerosis of these haemodynamically significative perforators (H.S.P.) is going to be 30% or more above the dose necessary to achieve sclerosis of the neighbouring varicose sections. This relative sclero-resistance often tallies with the other methods of revealing an incontinent perforator.

Humans↗