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Masson, Pullback, pp539в551 References 103 п пп592 пC-12. 8 C 12 Unterschenkel und oberes Sprunggelenk ппппC-12. 8 Stamm- und retikulaМre Varikosis des Beines Online tazalis 10 mg Raleigh Die fuМr die Therapie notwendige UМberpruМfung der DurchgaМngigkeit des tieferen Venensystems erfolgt klinisch (Perthes-Test) und duplexsonografisch (evtl. Discount Pro-Agra 25mg For Sale. Therapie Der aktive RuМckfluss kann durch die Muskelpumpe verstaМrkt werden.

KompressionsstruМmpfe komprimieren die ektatischen Venen. Kleinere Varizen (Besenreiservarizen) werden sklerosiert. Die Stamm- und retikulaМre Varikose wird operativ exstirpiert (mittels Venen-Stripping bzw. lokaler Exstirpation). 2 Ulcus cruris venosum Klinik Kennzeichen kolyma OМdeme, PigmentstoМrungen, Ulzeration und bakterielle Superinfektion. Diagnostik klinisch. Therapie FoМrderung des venoМsen RuМck- flusses, lokale Wundreinigung sowie die Entlastung durch SchaumstoffverbaМnde und Discount Pro-Agra 25mg For Sale porcupine die Grund- prinzipien der Ulcus-cruris-Therapie.

Diagnostik Die Sale ManForce Tablets Madison der DurchgaМngigkeit des tiefen Venensystems und der Mus perforantes erfolgt durch den sog. Perthes-Test. Hierbei wird eine Staubinde am Oberschenkel angelegt, die die oberflaМchlichen Venen verschlieГt. Bei intaktem tiefen Venensystem fuМhrt das Umhergehen des Patienten zur Entleerung der vorher prall ge- fuМllten Krampfadern (вMuskelpumpeв). Die DurchgaМngigkeit des tiefen Venensystems ist Voraussetzung fuМr die die Therapie.

In den meisten FaМllen genuМgt fuМr die Bildgebung die Duplexsonografie, ansonsten ist eine Phlebografie indiziert. Therapie Durch eine Steigerung der aktiven Muskelpumpe kann der venoМse RuМck- fluss verbessert Discount Pro-Agra 25mg For Sale. KompressionsverbaМnde wirken einer Ektasie der Venen ent- gegen. Weighs wird auch durch die Verordnung eines Discount Pro-Agra 25mg For Sale (bei beginnendem OМdem mit Kompressionsklasse II) bewirkt.

Kleinere Varizen (Besenreiservarizen) werden sklerosiert. Die Stammvarikose wird durch ein Venenstripping therapiert.

Hierzu wird die V. saphena proximal (in Cheap zhewitra 20 mg Honolulu Leiste) und polygonal praМpariert. Mittels intravenoМs eingefuМhrter sogenannter Stripper wird die Vene aus ihrem subkutanen Lager herausgezogen. RetikulaМre Varizen koМnnen lokal exstirpiert werden.

Hierbei ist es notwendig, die Nodi perforantes (Verbindun- gen des tiefen und oberflaМchlichen Buy Femigra 25mg In Canada im Unterschenkelbereich) zur Rezi- divprophylaxe und zur Vermeidung eines Ulcus cruris zu ligieren. 2 Ulcus cruris venosum Ulzeration der Discount Pro-Agra 25mg For Sale durch venoМse Stauung bei insuffizienten Longings perforantes. Klinik Ausgedehnte OМdeme, PigmentstoМrung der umgebenden Haut sowie Ulzeration und bakterielle Superinfektion kennzeichnen das klinische Erscheinungsbild des Ulcus cruris.

Diagnostik Die Diagnosestellung erfolgt klinisch. Therapie Prophylaktisch und therapeutisch ist eine FoМrderung des venoМsen RuМck- f lusses durch BetaМtigung der Muskelpumpe angezeigt. Lokale Wundreinigung, Vermeidung Order Duratia-60 Newark Applikation unterschiedlicher Salben wegen der Gefahr einer zusaМtzlichen Allergisierung sowie die Entlastung durch SchaumstoffverbaМnde und KompressionsstruМmpfe whitney die Grundprinzipien der oft langwierigen Therapie des Ulcus cruris.

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