[Treatment of varicose veins of the lower limbs by ambulatory phlebectomy (Muller's method): technique, indications and results]. 1997

J A Dortu, and I Constancias-Dortu

Ambulatory phlebectomy, first described by R. Muller in 1996, is now considered to be one of the major treatments of varicose veins, either alone or in combination with surgery and sclerotherapy. The first objective of this article is to recall the technique of ambulatory phlebectomy. The second objective is to specify the indications of this method based on the results of a prospective study started 5 years ago. In 1992, we performed 897 successive ambulatory phlebectomies. Inclusion criteria in this study were based on clinical findings and pulsed Doppler ultrasound. Patients were reviewed after one month, six months, then annually until 1996 (clinical examination and pulsed Doppler ultrasound). The results of the technique were analysed as a function of the varicose territory treated. In conclusion, ambulatory phlebectomy has traditional indications (non-saphenous varicose veins, varicose veins of the foot, external pudendal varicose veins). Ambulatory phlebectomy can also be used as treatment for saphenous varicose veins when the saphenofemoral junction is continent or absent or when the saphenous termination is simple.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D000556 Ambulatory Surgical Procedures Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter. Ambulatory Surgery,Day Surgery,Office Surgery,Outpatient Surgery,Surgery, Office,Surgery, Outpatient,Ambulatory Surgical Procedure,Procedure, Ambulatory Surgical,Procedures, Ambulatory Surgical,Surgery, Ambulatory,Surgery, Day,Surgical Procedure, Ambulatory,Surgical Procedures, Ambulatory,Ambulatory Surgeries,Day Surgeries,Office Surgeries,Outpatient Surgeries,Surgeries, Ambulatory,Surgeries, Day,Surgeries, Office,Surgeries, Outpatient

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