Problems in Peripheral Vascular Disease - Savage, P. E. A.

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Résumé :
In writing this short monograph on 'Problems in Peripheral Vascular Disease', I have tried to steer a course between a simplistic dogmatic approach more appropriate to an under? graduate text, and a detailed specialist treatise of interest only to vascular surgeons. Although arterial surgery has been performed for centuries, the main indications in the past were to deal with the effects of trauma and aneurysm formation. The development of arterio? graphy and the ability to see arterial blocks and stenoses allowed surgeons to carry out increasingly sophistidated operations for an enlarging range of pathological conditions. Even today, arterial surgery continues to develop, and although we are often dealing with the 'surgery of ruins', a successful outcome is just as rewarding for surgeon and patient alike. In this book I have also included a discussion on venous problems including a note about recent developments in direct surgery of the deep veins of the lower limb which could be a re? warding field of endeavour for the vascular surgeon. The original descriptions by Buerger and Raynaud are taken from 'Classic Descriptions of Disease' by Ralph H. Major. While reviewing my own surgical practice, I have had the pleasure of reading once again the publications of H.H.G. Eastcott (arterial surgery), J.T. Hobbs (varicose veins), G.L. Hill (Buerger's disease), Adrian Marston (intestinal ischaemia), Martin Bimstingl (vasospastic disorders) and C.H. Hawkes (lumbar canal stenosis).

Sommaire:
1 Arterial occlusive disease.- Presentation.- Examination and risk factors.- Investigations.- Vasoactive drugs.- Surgical treatment.- 2 The surgical treatment of intermittent claudication.- Assessment.- Aortoiliac disease.- Femoropopliteal reconstruction.- 3 The critically ischaemic limb.- Definition.- Clinical features.- Management.- Results.- 4 When should arteries be dilated?.- Percutaneous transluminal angioplasty.- Technique.- Indications.- 5 Acute ischaemia and arterial embolism.- Thrombosis.- Embolism.- Clinical features.- Management.- 6 Amputation in peripheral vascular disease.- Indications.- Technique.- Results.- Rehabilitation.- 7 What is Buerger's disease?.- Clinical features.- Prognostic factors.- Management.- 8 Aneurysms.- Pathogenesis.- Aortic aneurysms.- Surgery of leaking aortic aneurysms.- Dissecting aortic aneurysms.- 9 What about sex, doctor?.- Physiology.- Vasculogenic impotence.- Prevention of impotence.- Surgical treatment of vasculogenic impotence.- 10 Vascular surgery of the intestinal tract.- Anatomy.- Pathology.- Chronic intestinal ischaemia.- Acute intestinal ischaemia.- 11 Raynaud's what?.- Physiology.- Raynaud's syndrome.- Raynaud's disease.- Raynaud's phenomenon.- Assessment and investi-ation.- Treatment.- 12 The diabetic foot.- Pathophysiology.- Clinical presentation.- Assessment.- Management.- 13 Lumbar canal stenosis.- Cauda equina syndrome.- Anatomy.- Clinical features.- Diagnosis.- Treatment.- 14 Varicose veins.- Anatomy.- Physiology.- Classification.- Assessment.- Management.- Recurrent varicose veins.- Superficial thrombophlebitis.- Restless leg syndrome.- 15 Compression sclerotherapy for varicose veins.- Patient selection.- Injection technique.- Complications.- 16 Venous thromboembolism.- Pathogenesis.- Prevention of deepvein thrombosis (DVT).- Clinical features of DVT.- Management of DVT.- Recurrent DVT.- Pulmonary embolism.- 17 The post-thrombotic syndrome.- Clinical features.- Venous outflow obstruction.- Venous reconstructive surgery.- 18 Leg ulcers.- Aetiology.- Clinical features.- Diagnosis.- Management.