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Varizen 2006

Varizen 2006. Varizen. Pathologie Indikation Ziel der Operation Diagnostik Operation Nachbehandlung. Pathologie. Mündungsklappeninsuffizienz Magnainsuffizienz Parvainsuffizienz Perforansinsuffizienz Astvaricosis. Pathologie. Pathologie. Einteilung. Indikation. CVI II-VI

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Varizen 2006

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  1. Varizen 2006

  2. Varizen • Pathologie • Indikation • Ziel der Operation • Diagnostik • Operation • Nachbehandlung

  3. Pathologie • Mündungsklappeninsuffizienz • Magnainsuffizienz • Parvainsuffizienz • Perforansinsuffizienz • Astvaricosis

  4. Pathologie

  5. Pathologie

  6. Einteilung

  7. Indikation • CVI II-VI • Trophische Störungen • Funktionelle Beeinträchtigung • kosmetisch

  8. Ziel der Operation • funktionell • komplikationslos • kosmetisch günstig

  9. Diagnostik • Anamnese • Klinik • Untersuchung • Duplex

  10. Duplex

  11. Duplex • Crosseinsuffizienz? • Parva(mündungs)insuffizienz? • Magnainsuffizienz? • Perforantes?

  12. Operationstechnik • Crossectomie • PIN Stripping • Perforansligatur • Astexhairese • Parvaligatur • Perforansligatur

  13. Operation

  14. Operation

  15. Operation

  16. Operation

  17. Operation

  18. Operation

  19. Operation

  20. Operation

  21. Operation

  22. Operation

  23. Operation

  24. Operation

  25. Operation

  26. Operation

  27. Operation

  28. Neue Operationsverfahren • Endovenous laser therapy • Radiofrequency ablation • Transilluminated powered phlebectomy • Subfascial endoscopic perforating vein surgery • Foam sclerotherapy

  29. Postoperative Kontrolle • Blutung • Verband • Motorik !!! • Sensibilität !!!

  30. Sclerotherapie • Verödung • Aethoxysclerol • Besenreiser • Restvarizen • Limitierter Befund

  31. Laserverödung • NY Laser • Besenreiser • Restvarizen • Limitierter Befund

  32. Nachbehandlung • Kompressionsbehandlung 6 Wochen • (elastische Binden / Kniekompressionsstrümpfe Klasse II) • Funktionell((Liegen und Gehen))

  33. Literatur J Cardiovasc Surg (Torino) 2006 Feb; 47 (1) Eur J Vasc Endovasc Surg 2006 Mar; 31 (3) Dermatol Clin 2005 Jul; 23 (3) Cochrane Database Syst Rev 2004 Oct (4) Am J Surg 2004 Jul; 188 NEJM, 2006 August, 355;5

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