MANUAL


OFFICE PHLEBOLOGY - A practitioner's guide*
Gabriel Goren, M.D.


Preface, sixth revised edition 1997 IV-V Preface, fifth revised edition 1992 1Preface, first edition 1988 2EXAMINATION OF THE VENOUS SYSTEM - INTRODUCTION 4

CLINICAL TESTS: Introduction, percussion (tap) test, cough impulse test, Brodie-Trendelenburg and Perthes tests, examination forms.

NON INVASIVE EXAMINATION OF THE VENOUS SYSTEM: 10

THE DOPPLER ULTRASOUND Introduction, augmentation tests, examination of the deep venous system: common femoral, popliteal, and posterior tibial; examination of the superficial venous system: long saphenous vein and SFJ, short saphenous vein and SPJ; examination of the perforator system, Bartolo venous pressure.

NON INVASIVE EXAMINATION OF THE VENOUS SYSTEM: PLETHYSMOGRAPHY 19

Venous volume pletysmography: phleborrheography, impedance plethysmography, foot volumetry; Venous outflow (occlusive) plethysmography: strain gauge plethysmography; Venous reflux plethysmography: PPG/LRR; air plethysmography APG-Christopuolos/ Nicolaides; isotope plethysmography

AMBULATORY VENOUS PRESSURE PROTOCOL 28

DUPLEX IMAGING PROTOCOL 32

PERSONAL RECOMMENDATIONS FOR VENOUS DIAGNOSTIC TESTS 41

PRIMARY VARICOSE VEINS:

TOPOGRAPHIC AND HEMODYNAMIC CORRELATIONS 42

Goren, G. and Yellin, A.E. Presented at the XIX Congress of the International Cardiovascular Society, Toronto, Sept. 1989, published in J Cardiovasc. Surg. 1990; 31:672-77

EXAMINATION FORMS: clinical, arterial lower limbs, venous Doppler , APG, AVP, duplex imaging 52

BIBLIOGRAPHY-NONINVASIVE EXAMINATION - Doppler, 63 PPG/LRR, APG, etc.

SCLEROTHERAPY FOR TRUNCAL VARICOSE VEINS- THE PRINCIPLES 67

HIGH LIGATION AND COMPRESSIVE SCLEROTHERAPY PROTOCOL 70

Materials, method, adverse reactions, fees and billing

SCLEROTHERAPY FOR TRUNCAL VARICOSE VEINS: 78

FOR BETTER RESULTS. Selection of cases, injection technique, compression, high ligation, after care.

TO LIGATE OR INJECT THE JUNCTIONS - that is the question. 82

SCLEROTHERAPY FOR VARICOSE VEINS : FALLACIES 85

EGMONT J. ORBACH-THE FORGOTTEN AMERICAN 86

SCLEROTHERAPY (TROMBOTHERAPY?) AND THE FRENCH 89

SCHOOL OF PHLEBOLOGY. SCLEROTHERAPY FOR VARICOSE VEINS: history and effectiveness. Phlebology 1991, 6:7-11 92

SCLEROTHERAPY FOR VARICOSE VEINS: 3 Letters to Editor 97

PHLEBOLOGICAL POLITICS AND POLITICAL PHLEBOLOGY 104

SPIDER VEINS / TELANGIECTASIA - THE MICROSCLEROSIS PROTOCOL 112

Materials, methods, adverse reactions, fees and billing, addendum 1990.

EMERGENCIES IN SCLEROTHERAPY and THEIR THERAPEUTIC GUIDLINES 122

Syncopal reaction, Hypersensitivity, Inadvertent intra -arterial injections

SURGERY FOR VARICOSE VEINS-Stripping, history and criticism 132 PRINCIPLES OF SURGICAL CARE

PRIMARY VARICOSE VEINS: HEMODYNAMIC PRINCIPLES OF SURGICAL CARE.134

The case for the ambulatory stab evulsion technique. VASA 1991; 20:365-68 136

TRUNCAL VARICOSE VEINS. THE MINIMAL TRAUMA AMBULATORY STAB EVULSION PHLEBECTOMY. Material and methods, 142 addresses for hooks, CPT codes and fees.

SURGERY FOR TRUNCAL VV: THE AMBULATORY STAB EVULSION PHLEBECTOMY 151 Published in the Am J. Surg. 1991, 162: 166-74 ( G.Goren, A.E.Yellin )

ADDENDUM I - THE AMBULATORY STAB EVULSION PHLEBECTOMY visits with Rivlin & Varady 164

INVAGINATED AXIAL STRIPPING AND STAB AVULSION PHLEBECTOMY: A DEFINITIVE OUTPATIENT PROCEDURE FOR TRUNCAL VARICOSE VEINS. 166

ADDENDUM II - THE SWISS PHLEBOLOGICAL SOCIETY WORKSHOP ON V.V. JANUARY 25-28 1993 185

ADDENDUM III- "THE VENEN CHIRURGIE- LIVE" SYMPOSIUM FRANKFURT December 1995

SUPERFICIAL THROMBOPHLEBITIS 196

DEEP VEIN TRHROMBOSIS 198

CHRONIC VENOUS INSUFFICIENCY 201

COMPRESSIVE TREATMENT 209

CODING, ICD - 9CM and CPT 213

PHLEBOLOGICAL SOCIETIES 217

ADDRESSES: Suppliers of stocking, injectables, syringes and needles, instruments, hooks etc. 218

BIBLIOGRAPHY - BOOKS 221

*Included with workshop participation.
Purchased separately . . . . . . . . $ 115.00