[Sonographic imaging of lymphatic vessels compared to other methods]. / Apport de l'échographie à l'imagerie des vaisseaux lymphatiques par rapport aux autres méthodes.

This paper reviews for the first time the normal and abnormal appearances of lymphatic channels of the skin using ultrasound. After a review of anatomy and histology, the authors present the current imaging modalities available for lymph vessel imaging. The ultrasound examination is presented with a description of the author's technique as well as the technical requirements of the ultrasound unit (12 MHz linear probe with a resolution of 400 microns). They present the ultrasound appearance of normal lymphatic channels and their relationships to the dermis, hypodermis and lymph nodes, and at last the ultrasound appearance of abnormal lymphatic pathways

[Elastic support in 1988]. / La contention élastique en 1988.

After several remarks concerning physiology and physiopathology, we discuss the different physical aspects of compression and its use in therapy. We then consider, first, the choice of a bandage to reduce edema and secondly, that of an appropriate elastic stocking to maintain the therapeutic results.

[Lymphedemas of the dorsum of the foot]. / Les lymphoedèmes du dos du pied.

Lymphedema of the dorsum of the foot appears almost exclusively in women. Its positive and differential diagnosis is only based on clinical signs. In order to avoid a spontaneous aggravation, the patient must practice foot hygiene and possibly be immobilized, although this measure is not well accepted.

[Dosage of O-beta hydroxyethylrutoside in chronic venous insufficiency]. / Posologie de l'O-beta hydroxyéthylrutoside dans l'insuffisance veineuse chronique.

45 patients suffering from varicose veins with or without a chronic insufficiency up to stage II, took 1, 2 or 3 g of Oc-beta hydroxyerhylrutoside P.O. Photo reflexometry and plethysmography with mercury gauge demonstrated the results. The various parameters showed the medication to be effective after 10 and 21 days of treatment. A dosage adjusted to the gravity of the venous involvement improves the venous pump of the leg and therefore the venous return.

[Junctions of the saphenous vein. Anatomy and treatment concepts]. / Les crosses saphéniennes. Anatomie et concepts thérapeutiques.

The anatomic account brings to bear particularly on anomalies of the affluents and the various forms of long saphenofemoral junctions. The different anastomoses of short saphenous veins are also described. Following the anatomic account there is a run-down of the history of these disorders and of mainstream current views of their treatment.

[Noninvasive functional exploration using photoreflexometry]. / Exploration fonctionnelle non-invasive par photoréflexométrie.

Photoreflexometry measures the filling time of the intradermic venous plexus and quantifies the function of the venous pump in the leg. Thus it completes the other methods of venous functional investigation and provides data-figures on the seriousness of post-phlebitic illness. The essential interest of the non-invasive examination is that it makes it possible to read the phlebographic and therapeutic indications more discerningly.

[The lymphatic system and the venous wall. Clinical aspects]. / Lymphatique et paroi veineuse. Clinique.

The differences between venous and reversible lymphatic oedema are minimal. Save a few rare exceptions, venous oedema are complicated at some stage by lymphatic oedema and become irreversible because of the fixation of water by the interstitial proteins and the hypertrophy of the conjunctival tissue.

[Photo-reflex rheography and diagnosis of deep venous thrombosis]. / Photo-réflexo-rhéographie et diagnostic de thrombose veineuse profonde.

Photo-reflex-rheography is a noninvasive method of measuring the filling of the subcutaneous venous plexuses. Daily recording during the pre- and post-operative period permits comparison of the amplitude of the curves and measurement of the time for refilling. Any diminution of these two parameters suggestive of a deep vein thrombosis is an indication for phlebography.

[Compression therapy of the lower extremities particularly with compression stockings]. / Die Kompressionsbehandlung der unteren Extremitäten speziell durch Kompressionsstrümpfe.

The compression therapy of the lower extremities is based on strong patho-physiologic lines and is well codified. The necessary values of pression for any case and the exact indication for compression stockings and pantys for each compression class are well known. The physician has to prescribe thoroughly the adequate compression stocking, thus protecting the patient best against further complications.