Emblem   Hunczovksy

xi

Contributors

xiii

Foreword   Mark A. Talamini

xvii

Preface   John J. Bergan and Cynthia K. Shortell

xix

SECTION I

ETIOLOGY AND INTIAL EVALUATION OF THE PATIENT WITH CHRONIC VENOUS INSUFFICIENCY

1

Inflammation and the Pathophysiology of Chronic Venous Disease: Molecular Mechanisms   Geert W. Schmid-Schönbein and Luigi Pascarella

3

2

Mlcrocirculation in Chronic Venous insufficiency   Kevin Burnand, and Said Abisi

15

3

Epidemiology of Venous Ulcers   Olle Nelzén

27

4

Lower Extremity Ultrasound Evaluation and Mapping for Evaluation of Chronic Venous Disease   Stylianos K. Tsintzilonis, and Nicos Labropoulos

43

5

Hypercoagulable States Associated with Chronic Venous insufficiency   Jose L. Trani Jr., and Jeffrey H. Lawson

55

6

The Chronically Swollen Leg: Finding the Cause: Theory and Practice   Warner P. Bundens

67

SECTION II

NONOPERATIVE MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY

7

Compression Therapy in Venous Leg Ulcers   Hugo Partsch

77

8

Wound Healing: Adjuvant Therapy and Treatment Adherence   Dale Buchbinder and Sharon B. Buchbinder

91

9

Negative Pressure Dressings in Venous Ulcers   Brian D. Lewis and Jonathan B. Towne

105

10

Deep Vein Thrombosis and Prevention of Post-Thrombotic Syndrome   Joseph A. Caprin

113

SECTION III

THERAPUTIC PROCEDURES FOR CHRONIC VENOUS INSUFFICIENCY

11

Results Comparing Compression Alone versus Compression and Surgery in Treating Venous Ulceration   Manjit S. Gohel, Jamie R. Barwell, Mark R. Whyman, and Keith R. Poskitt

135

12

Superficial Surgery and Perforator Interruption in the Treatment of Venous Leg Ulcers   William Marston

149

13

Endovascular Techniques for Superficial Vein Ablation in Treatment of Venous Ulcers   Michael J. Stirling and Cynthia K. Shortel

173

14

Treatment of Chronic Venous Insufficiency with Foam Sclerotherapy   Alessandro Frullini

185

15

Foam Treatment of Venous Leg Ulcers: The Initial Experience   Juan Cabrera and Pedro Redondo

199

16

Foam Treatment of Venous Leg Ulcers: A Continuing Experience   Van L. Cheng, Cynthia K. Shortell, and John J. Bergan

215

17

Ultrasound Guidance for Endovenous Treatment   Luigi Pascarella, Lisa Mekenas, and John J. Bergan

227

18

Repair of Venous Valves in Severe Chronic Venous Insufficiency   Michel R. Perrin

243

SECTION IV

SPECIAL TOPICS

19

Treatment of Recalcitrant Venous Ulcers with Free Tissue Transfer for Limb Salvage   Stephen J. Kovach and L. Scott Levin

261

20

The Diagnosis and Treatment of Major Venous Obstruction in Chronic Venous insufficiency   Francisco José Osse and Patricia Ellen Thorpe

275

21

The Venous Ulcer and Arterial insufficiency   Robert B. Mclafferty and Colleen M. Johnson

299

22

Topical Negative Pressure Techniques in Chronic Leg Ulcers   Jeroen D.D. Vuerstae, Tryfon Vainas, and Martino H.A. Neumann

307

Epilogue   John J. Bergan

327

Index

329