Patients with primary varicose veins were examined by a combination of the standard tourniquet test with detection of reflux by Doppler ultrasound. Results were compared with standard clinical tests: impulse or thrill at the saphenous opening on coughing, tap impulse at the groin, and the 'Trendelenburg' tourniquet test. The state of competence of the saphenofemoral junction was noted at operation. One hundred and sixty-one limbs of 105 patients were studied. The saphenofemoral junction was incompetent in 132/161 limbs (82 per cent) and was judged competent in 29/161 limbs (18 per cent). The combined Doppler and tourniquet test assessed the saphenofemoral junction correctly in 82 per cent of limbs and was more accurate than all the other tests. The test had good sensitivity (0.9) but poor specificity (0.45). Poor specificity was a feature of all the tests except for thrill which was a highly insensitive test. The combined Doppler and tourniquet test appears to be the most simple, rapid and accurate means of detecting saphenofemoral incompetence.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/bjs.1800710712 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Should We Regularly Assess Hemoglobin Levels Following Elective Total Knee Arthroplasty, with the Administration of TXA and Without the Usage Tourniquet? An Observational Study from a Single Center.
Medicina (Kaunas)
November 2024
Orthopedic Surgery Division, Meir Medical Center, Tel Aviv University, Tchernichovsky St. 59, Kfar-Saba 6997801, Israel.
The aim of this study was to test whether there is a necessity for routine postoperative laboratory testing in patients undergoing primary elective unilateral total knee arthroplasty (TKA), with the administration of Tranexamic Acid (TXA) and without the use of tourniquet. : This observational, retrospective cohort study was conducted at Meir Medical Center. The data were collected in 2018-2022.
View Article and Find Full Text PDFThe cost of saving lives: Complications arising from prehospital tourniquet application.
Acad Emerg Med
December 2024
Department of Emergency and Disaster Management, School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv-Yafo, Israel.
Background: Uncontrolled hemorrhage is a leading cause of preventable death in trauma. Tourniquets (TQs) are commonly used to control bleeding in the prehospital setting, although their application is associated with risks. Therefore, this study aimed to identify complications arising from TQ use and to examine contributing risk factors.
View Article and Find Full Text PDFDoes Tourniquet Use Impact Early Patient Outcomes in Total Knee Arthroplasty?
Cureus
November 2024
Trauma and Orthopaedics, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, GBR.
Introduction Tourniquets are commonly used when performing total knee arthroplasty (TKA) to reduce intra-operative blood loss, improve surgical field visibility, and potentially improve cement penetration during prosthesis implantation. However, they may be associated with increased thigh pain, postoperative opiate use, and longer lengths of hospital stay. Methods Retrospectively collected data was obtained from our institution's electronic patient records and database.
View Article and Find Full Text PDFEffects of flossing technique on ankle mobility and vertical jump performance.
J Bodyw Mov Ther
October 2024
Sport Performance and Physical Fitness Research Group (UIRFIDE), Physical Education and Sport Department, University of Valencia, Valencia, Spain.
Context: Flossing may report benefits on range of motion. However, it's unknown whether flossing using pneumatic tourniquets may influence performance in bilateral countermovement jumping tests.
Objective: To analyze the acute effects induced by a flossing protocol with a pneumatic tourniquet placed at the intermalleolar level on jumping ability in basketball players.
A Case of Dengue Fever With Multiserotype IgG Positivity.
Cureus
October 2024
Internal Medicine, Howard University Hospital, Washington, DC, USA.
Dengue fever is a rapidly spreading mosquito-borne viral disease, increasingly endemic in tropical and subtropical regions. This case report details the clinical presentation of a 52-year-old male who developed severe symptoms shortly after returning from a two-week trip to El Salvador, an area known for dengue endemicity. The patient presented with a five-day history of high-grade fever, malaise, diarrhea, dizziness, and intermittent blurry vision, accompanied by chills, dry cough, headaches, and generalized pain.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!