Surgical Management of Venous Diseases

Part 1 History and physiology of venous surgery: history of venous surgery in the United States; physiology: hemodynamics of the venous system, calfpump and valve function. Part 2 Diagnostic techniques: diagnosis of venous disease: duplex imaging; functional duplex evaluation of chronic venous obstruction and incompetence; air plethysmography; impedance plethysmography in the study of venous disease; foot volumetry; venous hypertensive microangiopathy: evaluation by laser-doppler flowmetry; ascending and descending venography; lymphedema; ambulatory venous pressure regulation and pressure measurements; rational approach to diagnosis of venous insufficiency. Part 3 Techniques: sclerotherapy for varicose veins: guidelines and procedures; the conservative management of chronic lower extremity venous insufficiency; cosmetic excision and stripping of varices; use of compression and elastic devices; surgery for perforator incompetence; present status os surgical intervention for chronic venous insufficiency; bypass procedures for venous obstruction: Palma and May-Husni bypasses, Raju perforator bypass, prosthetic bypasses, primary and adjunctive AV fistulae; venous valve surgery - an overview; angioscopic valvuloplasty; venous valve reconstruction; modern interventional techniques: endoscopy, balloon dilatation, and stents. Part 4 Clinical features - pathology and management: superficial varicose veins: therapeutic options; chronic venous obstruction; vena cava syndromes; axillary subclavian venous thrombosis; investigation of lymphedema; congenital vascular malformations of venous predominance; diagnosis and treatment of the pelvic venous disorders: pelvic congestion and pelvic dumping syndromes. Part 5 Deep venous thrombosis: diagnosis of deep venous thrombosis: diagnostic versus surveillance testing; vena cava interruption and filters; venous thrombectomy; diagnosis and management of venous trauma.