J. Schmitz, Norbert Schöttler, T. Görge, C. Mitschang
{"title":"Wundbehandlung mit der lokalen Unterdrucktherapie/Vakuumtherapie","authors":"J. Schmitz, Norbert Schöttler, T. Görge, C. Mitschang","doi":"10.1055/a-2016-2879","DOIUrl":"https://doi.org/10.1055/a-2016-2879","url":null,"abstract":"Die Vakuumtherapie stellt ein wichtiges Element der modernen Wundtherapie zur Behandlung akuter sowie chronischer Wunden dar. Durch die lokale Erzeugung eines Unterdrucks und kontinuierliche Exsudatdrainage können ein interstitielles Ödem und die Bakterienbesiedlung vermindert sowie die Perfusion und Oxygenierung der Wunde verbessert werden. Die Vakuumtherapie eignet sich besonders für stark exsudierende und kontaminierte Wunden, das Ulcus diabeticorum und Ulcus cruris venosum bzw. mixtum, Dekubitalulzerationen, temporäre Wundverschlüsse sowie zur Fixierung von Spalthauttransplantationen.","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":"52 1","pages":"101 - 105"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48177614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empfehlungen der ISTH zur Antikoagulation bei COVID-19","authors":"B. Lampl","doi":"10.1055/a-1994-5851","DOIUrl":"https://doi.org/10.1055/a-1994-5851","url":null,"abstract":"Die SARS-CoV-2-Pandemie hat bislang mehrere Wellen durchlaufen, jede mit unterschiedlichen ubertragungs- und Virulenzmerkmalen. Die Pandemie wird weiterhin durch Reinfektionen, neue Varianten oder Untervarianten von SARS-CoV-2, gegen die Impfstoffe weniger wirksam sind, und schwindende Immunitat nach fruheren Impfungen und Infektionen aufrechterhalten. In vielen Landern sind die Impfraten sehr niedrig. Zusammengenommen weisen diese anhaltenden Herausforderungen auf den dringenden Bedarf an Leitlinien fur die klinische Praxis hin, die uber eine evidenzbasierte Behandlung von COVID-19-Patienten in verschiedenen klinischen Settings informieren.","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43611459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"European Venous Forum, 22.–24. Juni 2023, Berlin – spezielle Ermäßigung für Mitglieder der DGPL","authors":"","doi":"10.1055/a-2044-2490","DOIUrl":"https://doi.org/10.1055/a-2044-2490","url":null,"abstract":"","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41473011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Grundlagen des Lymphgefäßsystems","authors":"Erich Brenner","doi":"10.1055/a-1966-3109","DOIUrl":"https://doi.org/10.1055/a-1966-3109","url":null,"abstract":"Lebensgrundlage für jedes Gewebe ist die ständige Versorgung der einzelnen Zellen mit Sauerstoff, Nährstoffen, Botenstoffen etc. Diese Stoffe werden von Blutgefäßen in Wasser gelöst, in die Gewebe transportiert und in das Interstitium filtriert. Ein Teil des Wassers wird als Gel festgehalten, der Überschuss gelangt in die initialen Lymphgefäße und von dort in die beiden Venenwinkel. In den Verlauf der Lymphgefäße sind zahlreiche Lymphknoten eingebaut, die u.a. die durchfließende Lymphe konzentrieren.","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":"52 1","pages":"87 - 99"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44673649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Kern, E. Rabe, Katrin Schuldt, B. Kowall, A. Stang, E. Bock, Christopher R. Lattimer, K. Jöckel, F. Pannier
{"title":"Natural History of Varicose Veins of the Legs","authors":"C. Kern, E. Rabe, Katrin Schuldt, B. Kowall, A. Stang, E. Bock, Christopher R. Lattimer, K. Jöckel, F. Pannier","doi":"10.1055/a-1932-6334","DOIUrl":"https://doi.org/10.1055/a-1932-6334","url":null,"abstract":"Abstract Objective To assess the natural history of saphenous and non-saphenous varicose veins using the results of the Bonn Vein Studies and data published in literature. Methods We used the data of the Bonn Vein Studies (BVS) 1 and 2 to assess if preexisting non-saphenous varicose veins (NSVV) in persons who had no saphenous varicose veins (SVV) at baseline have an impact on the incidence of SVV during the follow-up of 6.6 years and vice versa. SVV where defined as tortuous or not-tortuous refluxing saphenous veins. The statistical evaluation was performed using SAS version 9.4 (SAS Institute, Cary, North Carolina). In addition, we performed a review of publications concerning the natural history of varicose veins (VV) using PubMed. Results In the BVS the overall incidence of SVV within the follow-up time of 6.6 years was 8.0 % (n = 133 of 1661; 95 % CI: 6.8–9.4). 7.2 % (n = 107 of 1492) without VV in BVS 1 and 19.8 % (n = 26) of patients with preexisting NSVV developed SVV. The relative risk for the development of SVV in patients with preexisting NSVV was 2.44 (95% CI: 1.64–3.64) adjusted for age and sex. The overall incidence of NSVV was markedly higher with 13.3 % (n = 226 of 1661; 95 % CI: 11.8–15.1). During follow-up 148 patients (9.9 %) without VV in BVS 1 developed NSVV. 48.5 % (n = 78) of patients with preexisting SVV developed NSVV during follow-up. The relative risk for the development of NSVV in patients with preexisting SVV was 4.10 (95% CI: 3.26–5.16), adjusted for age and sex. In published studies the development of VV is preceded by venous reflux. Initial VV may develop at any segment and the results from literature suggest that the location of VV and reflux at the time of the investigation depends on age. In younger individuals more distal location are reported with an ascending progression in the majority but also descending progression is possible. Conclusions Based on the results of the Bonn Vein Studies 1 and 2 we could demonstrate, that preexisting SVV increase the risk of developing NSVV and preexisting NSVV increase the risk of developing SVV in a similar way. Venous reflux may initially occur in any segment of the venous system and may progress in antegrade and/or retrograde fashion. In younger adults initial VV seem to be localized more often in distal parts of the legs with an antegrade progression over time.","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":"52 1","pages":"75 - 82"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45270049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extraluminale Valvuloplastie bei Stammvarikose der Vena saphena magna im Stadium I nach Hach","authors":"Thomas Falkenstein, Achim Mumme","doi":"10.1055/a-2014-6773","DOIUrl":"https://doi.org/10.1055/a-2014-6773","url":null,"abstract":"Das operative Standardverfahren zur Behandlung der Stamminsuffizienz der Vena saphena magna im Stadium I nach Hach ist die erweiterte Crossektomie. Mit der extraluminalen Valvuloplastie steht ein weiteres Behandlungsverfahren zur Verfügung. Dieser Beitrag zeigt die Vorteile der extraluminalen Valvuloplastie im Vergleich zu anderen operativen Verfahren bei der Behandlung der Stamminsuffizienz der Vena saphena magna im Stadium I nach Hach.","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":"52 1","pages":"83 - 86"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43771788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aktuelles Vorprogramm der 65. Jahrestagung der Deutschen Gesellschaft für Phlebologie und Lymphologie","authors":"","doi":"10.1055/a-2061-1188","DOIUrl":"https://doi.org/10.1055/a-2061-1188","url":null,"abstract":"","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49435764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Kiehl, Lena-Henrike Ellebrecht, A. Recke, B. Kahle
{"title":"Literaturübersicht zu Veränderungen der Zehennägel bei chronischer venöser Insuffizienz","authors":"Lisa Kiehl, Lena-Henrike Ellebrecht, A. Recke, B. Kahle","doi":"10.1055/a-1930-9826","DOIUrl":"https://doi.org/10.1055/a-1930-9826","url":null,"abstract":"Zusammenfassung Das Patientenkollektiv einer phlebologischen Sprechstunde weist häufig pathologisch veränderte Zehennägel auf. Es stellt sich die Frage, ob ein Zusammenhang zwischen chronischer venöser Insuffizienz und einer Onychodystrophie besteht. Denkbar sind sowohl nichtmykotische Nagelwachstumsstörungen als auch eine Prädisposition für Onychomykosen durch eine Minderperfusion im Rahmen der venösen Insuffizienz. Die wenige Literatur, die es zu dieser Thematik gibt, zeigt unterschiedliche Ergebnisse, welche hier genauer erläutert werden.","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":"52 1","pages":"71 - 74"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46132797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Venalpina 30. Januar bis 2. Februar 2023","authors":"","doi":"10.1055/a-2016-2792","DOIUrl":"https://doi.org/10.1055/a-2016-2792","url":null,"abstract":"","PeriodicalId":50885,"journal":{"name":"Phlebologie-Annales Vasculaires","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47219160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}