[The technic of ambulatory phlebectomy]. / Technique de la phlébectomie ambulatoire.

Ambulant phlebectomy, according to Muller, is a technique which represents one therapeutic stage in the treatment of a varicosity. Ambulant phlebectomy is a phlebological technique which, preoperatively, requires clinical phlebological and velocimetric examinations, and post-operatively the application of a phlebological compressive bandage. In combination with surgery and sclerotherapy, ambulant phlebectomy results in the total eradication of the varicosity through punctures of 2 or 3 mm, 0.5 cm to several centimetres apart. Ambulant phlebectomy is an efficient, quick and aesthetically pleasing technique.

[Pain in the foot or calf in a patient with varicose veins is not always of venous origin. Apropos of 13 cases]. / Une douleur du pied ou du mollet chez un variqueux n'est pas toujours d'origine veineuse. A propos de 13 cas.

A leg pain is not always of venous origin. From thirteen clinical cases, various diagnoses are individualized: stress fractures, plantar static disorders, metatarsalgias, anterior and posterior muscular compartment syndromes.

[An iatrogenic complication subsequent to an injection of corticoids into the instep]. / A propos d'un accident iatrogène consécutif à une injection de corticoïdes au cou-de-pied.

The authors give an account of their observations of a female patient who was treated for a sprained ankle by an injection of a crystalline suspension of triamcinolone. This therapeutic procedure caused cutaneous and subcutaneous atrophy of the external malleolar region and a strip of atrophy right along the lymph course of the leg. This observation led to bibliographical research and a review of the histological and clinical phenomena characterizing this type of accident. They note that the medico-legal position of the practitioner may be in question.

[Constriction: results of Lymphapress in edematous forms of the postphlebitic syndrome]. / La contention: résultats du lymphapress dans les formes cedémateuses du syndrome post-phlébitique.

Constraint is the major treatment for post-phlebitic syndrome. Use of Lymphapress improves constraint treatment for certain complicated forms of post-thrombotic syndrome, especially edematous forms with associated panniculitis. Treatment using Lymphapress is non-traumatic for the patient and produces an improved condition in 80% of the cases.

[Limping and muscle hypertonia concentrated in the calves. Relation to spasmophilia. Clinical and electromyographic study and treatment plan]. / Boiterie et hypertonie musculaire focalisée aux mollets. Relation avec la spasmophilie. Etude clinique, électromyographique et schéma thérapeutique.

The authors report several cases of patients who presented with pain in one or both calves and a limping gait. Clinical examination and the EMG confirmed that these disorders were of musculo-tendinous origin, maximal at the level of the gemellus tendon, frequently forming a tendinitis. The syndrome consists of a hypertonia of the calves which is maximal on waking and which improves on stretching the muscles. Most of the subjects examined suffered from a syndrome of restless legs and presented alterations of the autonomic nervous system and spasmophilia (simultaneous EMG recording of the left and right soleus muscles). Examination of the pathogenesis reveals the possibility of a phenomenon of tonic muscular training synchronous with variations in an elevated and unstable autonomic tone. The authors discuss a possible relationship with spasmophilia and algodystrophy. Finally, they propose a plan of treatment.

[16 cases of faulty stripping for primary varices]. / Réflexions sur 16 cas de strippings abusifs pour varices essentielles.

In answer to the question of knowing whether it is dangerous or not to carry out the excision of intact saphenous veins, the authors define what they mean by faulty strippings. They study 16 personal cases of such strippings, taking their pre-, per-, and postoperative statements from the case-histories. In the discussion they consider the "whys and wherefores" of this kind of faulty treatment, and the mediocre results obtained in medium and long term.

[Should external saphenectomy be routine or eclectic? Results of two series compared]. / Saphénectomie externe systématique ou éclectique? Résultats comparés de deux séries.

Based on a comparison between one series where external saphenectomy was routine and another series where external saphenectomy was eclectic, the authors give their preference for excision of the external saphenous when it is clearly diseased, and in this way obtain a 99% success rate. In the discussion, they emphasize that the anatomy of the popliteal fossa can vary, and they attempt to define a plan of management in regard to the external saphenous when it is diseased.

[Aetoxisclerol: lst impressions]. / L'Aétoxisclérol: premiéres impressions.

Polydocanol is a sclerosing product recently introduced in France. It is less efficient in treating large or medium-sized varicose veins than iodine or trombovar. Because it is pleasant to use, it is mostly advised in the treatment of varicosities and telangiectasias. Like the other sclerosing products that have been used to date, polydocanol can induce allergic reactions in some individuals.