Fragen zu " Wiederherstellung der Leitvenen nach tiefer Becken-Beinvenenthrombose "
(Source: Phlebologie)
Source: Phlebologie - September 12, 2017 Category: Surgery Source Type: research
Restoring of iliofemoral veins after deep vein thrombosis
Conclusion: In a case of chronic venous obstruction (CVO), all conservative treatment options should first be exhausted. With furthermore existing complaints in the sense of PTS with a restriction of the quality of life, an invasive therapy procedure should be considered. In this case, the endovascular recanalization is the first choice of treatment. Randomized studies are necessary to achieve a better degree of recommendation.... (Source: Phlebologie)
Source: Phlebologie - September 12, 2017 Category: Surgery Source Type: research
Sekund äre orthopädische Komplikationen bei angeborenen vaskulären Malformationen
Angeborene vaskuläre Malformationen sind häufig mit Problemen des muskuloskeletalen Systems vergesellschaftet. Stimulatives Wachstum führt zu Hypertrophien und Mehrwachstum, wie dies beispielsweise beim Klippel-Trenaunay-Syndrom mit einer zunehmenden Beinlängendifferenz vorkommt. Eine frühzeitige engmaschige klinische und radiologische kinderorthopädische Betreuung ist nötig, um rechtzeitig konservative oder operative Maßnahmen durchzuführen. Gravierende Beinlängendifferenzen im Wachstumsalter können in der Folge zu Skoliosen, aber auch rigiden Kontrakturen führe...
Source: Phlebologie - September 7, 2017 Category: Surgery Source Type: research
Operative Therapie einer ausgedehnten iliofemoralen Thrombose
Die konservative Therapie der tiefen Bein-/Beckenvenenthrombose (TVT) ist mit einem hohen Risiko für die Entwicklung eines postthrombotischen Syndroms korreliert. Solche Folgeschäden an den tiefen Venen können nur durch invasive Maßnahmen vermieden werden. Dies kann durch Rekanalisation der verschlossenen Venen und Wiederherstellung der Funktion des Klappenapparates mit chirurgischen, fibrinolytischen und interventionellen Methoden erreicht werden. Die Indikation zur rekanalisierenden Therapie muss streng und individuell gestellt werden. (Source: Phlebologie)
Source: Phlebologie - September 7, 2017 Category: Surgery Source Type: research
Fragen zu " Diabetisches Fu ßsyndrom im Alter "
(Source: Phlebologie)
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Betagte Patienten
(Source: Phlebologie)
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Diabetic foot syndrome in the elderly
In elderly patients with diabetes mellitus and mild deterioration of the lower extremities, peripheral artery disease and diabetic peripheral neuropathy may contribute to the development of a diabetic foot syndrome. Early diagnosis and intervention can help to preserve the foot and thus significantly increase quality of life with diagnostic and therapeutic procedures being the same in elderly and in young patients. Non-invasive diagnosis is possible in most bed-ridden patients and should take into account reasonable therapeutic options against the background of overall morbidity, physical performance and quality of life, w...
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Foam sclerotherapy in elderly patients
(Source: Phlebologie)
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Variceal surgery in the elderly: What should be observed?
The need for invasive therapeutic measures in patients with varicose veins increases in an ageing population. Modern varicose vein surgery is particularly suitable for this age group, precisely because the stage of the disease is often advanced in geriatric patients. Gentle surgical techniques, such as invaginated stripping, cause the least possible operative trauma and are therefore especially suitable for the aged body. Less stressful anaesthetic techniques, such as tumescence, spinal anaesthesia or total intravenous anaesthesia with the use of a laryngeal tube, are likewise particularly well-suited for the treatment of ...
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Versorgung von Menschen mit chronischen Wunden im Pflegeheim
Als Setting bietet das Pflegeheim für eine hochwertige Versorgung von Menschen mit chronischen Wunden im Grunde ein förderliches Umfeld. Betreuungsdichte, Voraussetzungen für hygienische Verbandswechsel und Ansatzpunkte für interprofessionelle Kommunikation und Zusammenarbeit bieten gute Voraussetzungen. Gleichzeitig ist das Setting Pflegeheim gekennzeichnet von besonderen Herausforderungen: Häufige Multimorbidität und vor allem Demenzerkrankungen unter den Bewohnern, aber auch fehlende spezielle Kompetenzen im Personal, vor allem aber häufig fehlende Konzepte in den Einrichtungen sind Gr...
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
What should the phlebologist know from geriatrics?
The treatment of elderly and very old patients presents a considerable challenge in addition to the difficult diagnosis by superimposed comorbidities and geriatric syndromes, especially in pharmacotherapy. In addition to physiological aging effects, these patients exhibit the highest exposure to pharmaceuticals, while the number of participating doctors increases with the consequence of a generally incomplete knowledge of the substances taken. In the context of phlebological treatment, therefore, the knowledge of the most important potentially risky medications is helpful, especially in the field of anticoagulation and pot...
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Dementia – a diagnostic and therapeutic challenge
Dementia is characterized as a progredient loss of memory, thinking and socials skills leading to need for help in everyday activities till complete dependence on help. Beside decline of mental abilities patients also develop non-cognitive symptoms like euphoria, depression or agitation. In contrast“mild cognitive impairment” describes limited cognitive function but obtained independence in activities of daily life. The prevalence of dementia is age-related, showing an average prevalence of 4 % in 65–70 year old people. While primary dementias are still incurable, there are also dementia-like condi...
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Treatment of chronicle wounds in elderly and geriatric patients
In Germany, there has been a continuous increase in life expectancy for more than 135 years. The number of people aged 80 years and over will triple until 2050. Chronic wounds in different aetiologies will increase in our ageing population, with a parallel growth in numbers of comorbidities and geriatric syndromes. Beside vascular difficulties of wound healing and physiological changes in skin conditions among the elderly, we are challenged by the treatment of comorbidities such as diabetes mellitus, neurological diseases (polyneuropathy), the decrease of mobility and the increase of joint troubles, as well as cognitive, e...
Source: Phlebologie - July 24, 2017 Category: Surgery Source Type: research
Non-thermal endovenous treatment: acrylat adhesion of varicose saphenous veins
Endovenous treatment of varicose veins, especially thermal procedures using laser and radio frequencies, has become established as an effective alternative to surgery by stripping and high ligation. Although these methods are very sparing and patient-friendly, they also entail risks and side effects. The risk of damage to peripheral and motor nerves is certainly lower than with open surgery, however, it still exists as a result of heat application and tumescent anaesthesia. Several non-thermal procedures which do not require the use of tumescent anaesthesia are coming onto the market. They carry a significantly lower risk ...
Source: Phlebologie - June 9, 2017 Category: Surgery Source Type: research
Fragen zu " Endothermale ablative Behandlung von Stammveneninsuffizienzen "
(Source: Phlebologie)
Source: Phlebologie - June 9, 2017 Category: Surgery Source Type: research
