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November 1996

Ambulatory Treatment of Venous Disease: An Illustrative Guide

Author Affiliations

Torrance, Calif

Arch Dermatol. 1996;132(11):1407. doi:10.1001/archderm.1996.03890350151042

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There is a great deal to like about this text. Brief, clear, and beautifully illustrated, it presents a broad international spectrum of diverse treatment protocols side by side. Although all the chapters are well written, certain authors are exceptionally informative. Bergan's "Perforators" and Biegeleisen's "Angioscopy" chapters are jewels of information and innovation. I also particularly liked Darke's brief chapter on recurrent varicose veins and van Bemmenelan's treatise on ultrasound. Kistner and Eklof's "Diagnostic Algorithm" chapter is superb.

What I see as the flaws of this book have to do with small vessel sclerotherapy and a dogmatic approach to the genesis and treatment of spider veins, which can, in my experience, exist in the absence of venous hypertension and respond beautifully to a variety of treatments that do or do not include the injection of adjacent reticular veins. I am grateful that they are not called "feeders" anymore. There is no

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