Quiroli A
Minerva Chir. 1977 Nov 30;32(22):1421-31.
The methods of treatment used in the cure of simple and complicated lower extremity varices are described. These conditions are found in about 10% of the population throughout the civilised world and their social and economic repercussions are by no means negligible. The lines of surgical management dictated by the latest view of the pathogenesis and physio-pathology of these varices are explained. Treatment is by no means simples or of secondary importance with respect to the surgery of other vascular sectors. Emphasis is placed on the high percentage of recurrences. These are the result of mistakes in surgical technique or inadequate sclerosing management, as shown in the literature. Postoperative cure and the absence of local inflammation or infection come from the employment of non-reabsorbable, inert and very thin threads, rational in addition to the methodical use of widely diffusible antibiotics, fibrinolytics, and modern platelect anti-clumping agents.
本文描述了用于治疗单纯性和复杂性下肢静脉曲张的方法。在整个文明世界中,约10%的人口患有这些疾病,其对社会和经济的影响绝不可忽视。文中解释了根据这些静脉曲张发病机制和生理病理学的最新观点所确定的手术治疗方法。就其他血管领域的手术而言,该治疗绝非简单或次要。文中强调了复发率之高。如文献所示,这些复发是手术技术失误或硬化治疗不充分所致。术后治愈以及无局部炎症或感染源于使用不可吸收、惰性且非常细的缝线,以及合理且系统地使用广泛应用的抗生素、纤维蛋白溶解剂和现代血小板抗聚集剂。