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Veins and Lymphatics
Number of Followers: 1

This is an Open Access Journal

Open Access journal
ISSN (Print) 2279-7483 - ISSN (Online) 2279-7483
Published by PAGEPress

[52 journals]

Compression therapy: revolutionizing venous ulcer care with precision and
innovation
- Authors: Roberto Tedeschi
  Abstract: Compression therapy is a cornerstone in the management of Venous Leg Ulcers (VLU), promoting healing, reducing edema, and preventing recurrences. Despite its proven efficacy, patient adherence remains a critical challenge due to discomfort and application complexity. Recent innovations, including custom-fit compression garments and smart devices, are improving both clinical outcomes and patient compliance. This editorial explores the current evidence supporting compression therapy, the barriers to its effective use, and the future potential of personalized care through advanced technologies. Compression therapy remains a cost-effective and essential treatment for chronic venous disease.
  PubDate: Thu, 13 Mar 2025 00:00:00 +000
In vivo stiffness of wraps: a tool to estimate the number of patients who
will respond to treatment
- Authors: Didier Rastel; Renaud Urbinelli
  Abstract: Adjustable Compression Devices (ACDs), also known as wraps, offer a promising alternative treatment to bandages in complicated stages of chronic venous disorders. Nevertheless their characterisation and clinical place depending on their stiffness, are still pending questions. We propose a new approach to measuring stiffness in vivo in a small group of individuals Measurement of the Static Stiffness Index (SSI) of two adjustable compression devices commercially available in 10 healthy volunteers. Ten healthy volunteers of 37.6±8.6 years old (25-50), mean, Standard Deviation (SD), and range, respectively, participated in the study. SSI was measured at the resting pressure of 30 mmHg for both ACDs at point B1. SSI was 21.9±10.3 mmHg (0-33) for Coolflex and 12.5±6.2 (0.6-24.6) for Compreflex. At a cut-off level of 10 mmHg of SSI, 10 % of volunteers for Coolflex and 30 % for Compreflex were under the cut-off level. The SSI measured in vivo made it possible to discriminate between wraps and estimate the percentage of patients who would better respond to this treatment.
  PubDate: Thu, 13 Mar 2025 00:00:00 +000
Groin recurrences after surgical and endovascular treatments of varicose
veins in the territory of the greater saphenous vein: a coherent
hypothesis to explain their occurrence
- Authors: Massimo Cappelli; Raffaele Molino Lova, Mauro Pinelli, Claude Franceschi
  Abstract: Surgical and endovascular procedures to treat varicose veins in the territory of the Greater Saphenous Vein (GSV) are burdened by a variable rate of groin recurrences. In the case of surgical procedures, they are due to the development of tortuous vessels leading to the formation of a cavernoma in the site of the previous Saphenous-Femoral Junction, after crossectomy, or to a by-pass of the metallic clip, after crossotomy. In the case of endovascular procedures, groin recurrences are, instead, mainly represented by rectilinear vessels due to the progression of the incompetence within an antigravitational Sapheno-Femoral Junction (SFJ) tributary, most often the Anterior Saphenous Vein (ASV), and rarely by tortuous vessels leading to the formation of a cavernoma in the distal part of the stump always resulting from the procedure. In this paper we suggest a coherent hypothesis to explain the occurrence of groin recurrences after surgical and endovascular procedures based upon experimental studies and observational data. Recurrences due to pelvic shunts or to incompetent thigh perforator veins, are not considered.
  PubDate: Thu, 13 Mar 2025 00:00:00 +000

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