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  • Title: [Surgical treatment of chronic venous insufficiency by subfascial ligation of the venae perforantes].
    Author: Galasso U.
    Journal: Minerva Chir; 1980 Sep 30; 35(18):1401-4. PubMed ID: 7231728.
    Abstract:
    A series of 82 cases of chronic venous insufficiency (28 with post-phlebitis syndrome), in which superficial phlebectomy was associated with subfascial ligation of the perforantes according to Linton or Felder, is presented. The results were excellent in 90% of patients with long-standing essential varices, but were less impressive in those with post-phlebitis syndrome (persistence of oedema in 50%; disappearance of eczema in 70% with no recurrence of ulcers). Stress is laid on the efficacy of the operation, but attention is drawn to the need for "polyvalent" therapy, in which surgery, sclerosing agents and medical therapy must be carefully integrated and blended.
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