By Peter F. Lawrence, Christine E. Gazak (auth.), Jeffrey L. Ballard MD, FACS, John J. Bergan MD FACS (eds.)
Chronic venous insufficiency, manifesting as disabling open leg ulcers, lipodermatosclerosis and serious cutaneous hyperpigmentation is assumed to impact 5 percentage of the inhabitants over age eighty and an important share, most likely more than one percentage, of Western populations less than age sixty five. thus far little has been identified approximately tips to deal with this cost-effectively past supportive and palliative care. therefore, an important characteristic of ChronicVenous Insufficiency is that it describes the interventions which markedly ameliorate, and often times medication, the situation. The authoritative textual content has been skilfully illustrated to teach how new equipment of endovascular and endoscopic interventions may be built-in with radiologic concepts to right absolutely the abnormalities which produce continual venous insufficiency. Taken as a complete this quantity will let common surgeons, vascular surgeons, dermatologists and interventional radiologists to regard a that was once, until eventually lately, regarded as untreatable.
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The media of the deep veins contain as much smooth muscle as saphenous A B Fig. 9. Proximal A and distal Baspect of a valve in the greater saphenous vein. (Stereo microscopy, magnification: x14). 33 34 Basic Considerations . ) / A Fig. 10. Histology of valves in the greater saphenous vein. S; B,AZAN magnification: xlO). veins do; however, their collagen content is more abundant. Deep veins are supported from outside by surrounding skeletal muscle and a strong fibrous sheath as well. Therefore, their wall is considerably rigidY The adventitia of veins is poorly demarcated from surrounding tissues.
Thieme, Stuttgart, 1973 27. Le Dentu A. Anatomic research and physiologic considerations of the venous circulation of the foot and leg (in French). These Agregat, Paris, 1867 28. Schafer K. The course, structure and passage through the fascia of the perforating veins. In: May R, Partsch H, Staubesand J (eds) Perforating veins. Urban & Schwarzenberg, Baltimore, 1981: 37-45 29. Pirner F. On the valves of the perforating veins. In: May R, Partsch H, Staubesand J (eds) Perforating veins. Urban & Schwarzenberg, Baltimore, 1981: 46-8 30.
J Vase Surg 1996; 24:711-18 Venous Anatomy of the Lower Limb Geza M6zes, Peter Gloviczki, Anna Kadar and Mate Dzsinich Superficial Venous System 'The (leg) veins may be divided into three sets, the saphenous, the deep and the intercommunicating (veins) .. perforating the intervening aponeurosis ... "7 John Gay, The Lettsomian Lectures, 1868 Cutaneous Microcirculation Microcirculation of the skin plays an important role in the thermoregulation of the human body. Cutaneous blood supply, therefore, exceeds ten times that of the nutritional requirements of the skin.