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Penile Cancer
Published in Karl H. Pang, Nadir I. Osman, James W.F. Catto, Christopher R. Chapple, Basic Urological Sciences, 2021
Eleni Anastasiadis, Nicholas A. Watkin
ELND:Removes lymph nodes superficial and deep to the fascia lata.Involves excision of the great saphenous vein.
Vascular Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Yiu-Che Chan, John Wang, Julian Wong, Edward Choke, Tjun Tang
What is the course of the great saphenous vein?Continuation of the medial end of the dorsal venous arch in the foot.Passes anterior to the medial malleolus and ascends in company with the saphenous nerve in the superficial fascia over the medial aspect of the calf.Behind the knee, the GSV lies one hand's breath behind the medial aspect of the patella. It then passes along the medial aspect of the thigh and passes through the lower part of the saphenous opening in the cribriform fascia to join the femoral vein 2 cm below and lateral to the pubic tubercle.
Long-Term Results of In Situ Saphenous Vein Bypass: Analysis of 2058 Cases
Published in Juan Carlos Jimenez, Samuel Eric Wilson, 50 Landmark Papers Every Vascular and Endovascular Surgeon Should Know, 2020
Juan Carlos Jimenez, Samuel Eric Wilson
Study Design From 1975 to 1995, 3,148 autogenous vein bypasses were performed of which 2,058 used saphenous vein in situ for their reconstruction. The indications for operation were primarily limb-threatening ischemia in 91% (1,875 out of 2,058). Eighty-eight percent of the patients with an intact ipsilateral greater saphenous vein had in situ saphenous vein bypasses completed successfully. Outflow consisted of 69% (1,023 out of 2,058) bypasses performed to the infrapopliteal level, and 76% (1,562 out of 2,058) were completed using the modified closed in situ technique.
Lymphatic flow through (LyFT) ALT flap: an original solution to reconstruct soft tissue loss with lymphatic leakage or lower limb lymphedema
Published in Journal of Plastic Surgery and Hand Surgery, 2023
David Guillier, Martino Guiotto, Stephane Cherix, Wassim Raffoul, Pietro G. di Summa
However, when the soft tissue defect is associated with disruption of the lymphatic network, flap-only coverage may not be sufficient avoid lymphorrea, wound breakdown, infections and potential secondary lymphoedema. Anatomically, the lymphatic vessels in the lower leg converge in the medial thigh run parallel to the great saphenous vein and continue to the inguinal lymph nodes above the inguinal ligament. The groin lymph-nodal system is divided into superficial and deep planes within the femoral triangle. The superficial lymph node system drains the lymphatic collectors from the lower limb, superficial gluteal region, lower abdominal wall, perineum and external genitalia. The deep inguinal nodes receive some lymphatic flow from the superficial system (minor part) and then drain to the external iliac nodes [4].
Acute promyelocytic leukemia presenting as recurrent venous and arterial thrombotic events: a case report and review of the literature
Published in Journal of Community Hospital Internal Medicine Perspectives, 2021
Kira MacDougall, Divya Chukkalore, Maryam Rehan, Meena Kashi, Alexander Bershadskiy
To further evaluate the patient’s neutropenia, human immunodeficiency virus was tested and was negative. JAK-2 mutation was negative. Flow cytometry, which included cytogenetics, was negative for paroxysmal nocturnal hemoglobinuria but revealed t(15;17)(q26;q25), consistent with APL. The patient underwent a bone marrow biopsy which demonstrated diffuse infiltration of abnormal promyelocytes (Figure 3(a-c)). Before treatment for APL could be initiated, the patient developed left lower extremity and right upper extremity pain. Ultrasonography revealed thrombosis of the right cephalic vein, left basilic vein, and a superficial thrombosis of the left great saphenous vein. International normalized ratio was therapeutic at 2.80. Patient was transitioned from coumadin back to unfractionated heparin. Aspirin was discontinued due to the high-risk of bleeding.
What is the optimal treatment technique for great saphenous vein diameter of ≥10 mm? Comparison of five different approaches
Published in Acta Chirurgica Belgica, 2021
Emre Kubat, Celal Selçuk Ünal, Onur Geldi, Erdem Çetin, Aydın Keskin
The great saphenous vein (GSV) and its branches are the main components of the venous system. High ligation + stripping (HLS) has been used as a standard treatment of symptomatic primary GSV insufficiency for many years. However, with the technological developments in recent years, conventional surgery has been replaced by endovascular techniques, which have been widely used in the past decade [1]. Among them, endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) have been adopted for many years with favorable outcomes [4–7]. In more recent years, cyanoacrylate closure (CAC) as a non-tumescent, non-thermal technique has been shown to be effective in the treatment of GSV insufficiency with promising early results [8,9]. In a study, 1,470 nm laser and RFA were used in the treatment of a GSV diameter of ≥10 mm and both techniques yielded similar occlusion rates at 6 months [10]. In another study, the recurrence rate was found to be higher in GSV diameter of ≥10 mm than smaller veins treated with CAC [11].