English
03. Case report: Three-dimensional Regenerative Ambulatory Phlebotherapy for incontinent perforating veins in patients who have already undergone multiple phlebectomies
This patient had undergone a bilateral saphenectomy of the great saphenous vein and multiple posterior phlebectomies in both calves. In the treated areas, new varices had formed owing to the persistence of perforating veins in the regions involved. Incontinent veins had been inadequately treated by phlebectomy which, as is known, has a mainly two-dimensional action. Incontinent perforating veins had given rise to new evident venous ectasias. We viewed the sites of venous reflux by means of a spectroscopic analysis method. During the analysis, significant venous reflux was seen in the perforating veins of Cockett, Sherman and Boyd in the left leg. In the right leg, the perforating veins of Sherman and Boyd were seen to be incontinent and bulging. Numerous posterior bilateral perforating veins were seen to be feeding large varices with significant reflux.
Italian
03. Case report: Fleboterapia Rigenerativa Tridimensionale Ambulatoriale di perforanti incontinenti, in paziente già sottoposto a flebectomie multiple
Questo paziente è stato operato di safenectomia magna bilaterale e di flebectomie multiple posteriori di entrambi i polpacci. Nelle sedi trattate si sono formate nuove varici derivate dalla persistenza nell’area di vene perforanti incontinenti, non adeguatamente trattate con le flebectomie che, com’è noto hanno un’azione prevalentemente bidimensionale. Le perforanti incontinenti hanno dato luogo a nuove evidenti ectasie venose. Abbiamo visualizzato le sedi del reflusso venoso con una metodica di analisi spettroscopica.
