By Mitchel P. Goldman, Mihael Georgiev, Stefano Ricci
The single textual content in particular dedicated to the topic, this moment variation serves as a whole and useful advisor for office-based surgical procedure of varicose veins-providing a variety of illustrations showcasing the anatomy of varicose veins, in addition to step by step insurance of the ambulatory phlebectomy approach.
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Additional resources for Ambulatory Phlebectomy, Second Edition (Basic and Clinical Dermatology)
History of Ambulatory Phlebectomy xxxv AULUS CORNELIUS CELSUS He first described ambulatory phlebectomy in a complete, detailed, precise, and exact way. He was a Roman, rich and extremely meticulous. He lived during Tiberius between 56 BCE and 7, or even 40, ACE, a contemporary of Christ. He wrote in a remarkable style (he was named the Cicero of Medicine) a human’s knowledge encyclopedia, “De Artibus,” probably between 30 and 35 years BCE. It is the work of a talented, intelligent, common-sensed sage, with an inexhaustible scientific and philosophical culture that concerns agriculture, military art, rhetoric, philosophy, jurisprudence and .
4(b) and (c)]. In addition to the aforementioned junctions and pelvic/abdominal anastomoses, superficial veins anastomize with deep veins through more than 140 perforating veins (PVs) distributed along the entire length of the limb (2). The GSV, SSV, their constant (named) tributaries, and major perforators are illustrated in Figs. 2. However, this classical description is not sufficient and may be even misleading for clinical practice because of the following anatomical and clinical considerations.
Through the saphenofemoral junction (SFJ) in the groin, and the saphenopopliteal junction (SPJ) in the popliteal fossa, respectively. In addition to these two “classical” junctions, superficial veins bypass the SFJ and drain into the iliac and caval veins via numerous anastomotic branches of the abdominal wall and the pudendal, perineal, and gluteal areas through abdominal and pelvic anastomoses. These branches are a potential source of “extrafemoral” reflux, which may fill the incompetent GSV and other varicose veins even when the SFJ is competent [Fig.