"Eventual sclerosis of varicose veins, elastic support, methodical ambulation": the teachings of R. Tournay remains the golden rule for healing leg ulcers of venous origin. Their frequent relapse has been perceptibly reduced by the therapeutic developments of the "Sixties", and notably the phlebosurgical routine collaboration in many cases of varicose ulcers Conference on Stripping, Paris, 1960); and the use of stockings calculated scientifically to benefit healed phlebitic ulcers (Van der Molen, Passien).
View Article and Find Full Text PDFAll pregnancy varices should be treated by the "new" sigvaris elastic stockings, available since C. 1960, degressive, and of calculated compression. However, these elastic stockings are not enough in all cases, and they should in no way replace active therapy.
View Article and Find Full Text PDFThe compressive method was practiced instinctively in farthest antiquity. Its development in Western Europe over the past two centuries may be artificially divided into 3 phases. The first phase, which belongs to the prehistory of Phlebology, includes two notable facts: the start of ambulatory compression in London around 1800, and the interest that the French school immediately showed in this discovery.
View Article and Find Full Text PDFThe author describes two cases of ambulatory iliac phlebitis occurring in young women, one pregnant, the other taking synthetic oestrogen-progestogen drugs. Anti-coagulants were contraindicated because of the pregnancy in the first case, and because of practical obstacles to their correct use in the second. In consequence both cases were treated as outpatients by physical compression (Nard's method), without any anticoagulant medication : the results were striking and lasting.
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