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Journal articles on the topic 'Incompetent patients'

Author: Grafiati

Published: 28 June 2021

Last updated: 29 July 2025

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1

Valentín, L. I., W. H. Valentín, S. Mercado, and C. J. Rosado. "Venous Reflux Localization: Comparative Study of Venography and Duplex Scanning." Phlebology: The Journal of Venous Disease 8, no. 3 (1993): 124–27. http://dx.doi.org/10.1177/026835559300800309.

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Objective: To compare the results obtained by duplex ultrasound imaging and ascending and descending phlebography in patients with chronic venous insufficiency. Design: Prospective comparison between venography and duplex ultrasound imaging in a single patient group with chronic venous insufficiency. Setting: Private vascular clinic in Puerto Rico. Patients: Twenty-one patients presenting with clinical evidence of venous disease of the lower limb. Main outcome measures: Presence of valvular incompetence in deep and superficial veins as indicated by duplex ultrasound imaging and ascending and d

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2

Belcaro, G., and B. M. Errichi. "Selective Saphenous Vein Repair: A 5-Year Follow-up Study." Phlebology: The Journal of Venous Disease 7, no. 3 (1992): 121–24. http://dx.doi.org/10.1177/026835559200700310.

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objective: To evaluate the effect of selective saphenous vein repair (SSVR) in a 5-year follow-up study. Design: Prospective, randomized study of 44 subjects randomized to an SSVR group and a control group. Setting: University Clinic, Chieti, and Angiology and vascular Surgery Clinic, Pescara, Italy. Patients: Twenty-two patients in the SSVR group and 22 in the control group. Inclusion criteria were incompetence of the saphenofemoral junction (SFJ) with presence of valve cusps and two to five venous sites in the long saphenous vein. interventions: SFJ plication and selective interruption of th

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3

Nusrat Mahjabeen and Shaikh Zinnat Ara Nasreen. "McDonald’s suture: A successful case." Z H Sikder Women’s Medical College Journal 3, Number 1 (2021): 38–40. http://dx.doi.org/10.47648/zhswmcj.2021.v0301.09.

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Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester. Cervical cerclage (CC) has been utilized for the cure of loss in second trimester pregnancy. The detection of cervical incompetency is difficult. Usually patients have history of repeated second trimester demise or early preterm delivery after cervical dilatation without pain having no bleeding, contractions, or other reasons. We report a 28years old patient, 3rd gravida, para 0+2, at 11 weeks’ gestation with the diagnosis of cervical

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4

Al Jubair, Khalid A., Abdullah Jaralla, Mohsen Fadala, et al. "Repair of the mitral valve because of pure rheumatic mitral valvar incompetence in the young." Cardiology in the Young 8, no. 1 (1998): 90–93. http://dx.doi.org/10.1017/s1047951100004698.

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AbstractBetween January 1985 and April 1994, 42 children aged between 7 and 14 years (mean 11.3 years) underwent repair of severely incompetent rheumatic mitral valves with no accompanying mitral stenosis. In 19 patients the tricuspid valve was severely incompetent, while 8 patients had severe aortic incompetence. Overall, the repair incorporated shortening of elongated tendinous cords and insertion of a Duran or Carpentier prosthetic ring. The repair was the sole procedure in 15 patients, whilst 19 patients also had a De Vega tricuspid valvar annuloplasty and 8 had repair or replacement of th

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Zaniewski, M., T. Urbanek, A. Dorobisz, E. Majewski, U. Skotnicka-Graca, and J. Kostecki. "Haemodynamic changes of the deep vein system of the leg after surgery of the incompetent great saphenous vein." Phlebologie 39, no. 01 (2010): 18–23. http://dx.doi.org/10.1055/s-0037-1622288.

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SummarySurgical treatment of chronic venous disease primarily aims to restore the normal haemodynamic conditions in the venous system. The objective of the study was an assessment of the influence of incompetent saphenous vein removal on the haemodynamical changes within the venous and arterial system of the operated extremity. Patients, materials, methods: The study utilised a group of 50 patients presenting with varicose veins (C2 according to CEAP classification) and great saphenous vein incompetence selected for saphenous vein stripping. In all patients, duplex Doppler examination of femor

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6

Conrad, P. "Endoscopic Exploration of the Subfascial Space of the Lower Leg with Perforator Vein Interruption Using Laparoscopic Equipment: A Preliminary Report." Phlebology: The Journal of Venous Disease 9, no. 4 (1994): 154–57. http://dx.doi.org/10.1177/026835559400900405.

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Objective: To describe a method of endoscopic exploration of the medial subfascial space of the lower leg using laparoscopic equipment and dividing incompetent perforating veins crossing this space with diathermy. Design: Prospective study in seven patients with significant perforating vein incompetence in the medial lower leg. Setting: Department of Surgery, Nepean Hospital, New South Wales, Australia. Intervention: Laparoscopic equipment is used to explore endoscopically the medial subfascial space of the lower leg. Incompetent perforating veins preoperatively marked by duplex examination ar

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van Gent, WB, and CHA Wittens. "Influence of perforating vein surgery in patients with venous ulceration." Phlebology: The Journal of Venous Disease 30, no. 2 (2013): 127–32. http://dx.doi.org/10.1177/0268355513517685.

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Objectives The exact role of perforating vein surgery is still unclear. The aim of this study is to analyze the influence of perforating vein surgery in patients with venous ulceration. Methods This study was part of a randomized controlled trial in which conservative and surgical treatment of venous ulceration was compared. It is a secondary analysis of prospectively gathered data. Ninety-seven active leg ulcers were surgically treated with a subfascial endoscopic perforating vein surgery (SEPS) procedure. Concomitant superficial venous incompetence was treated with flush saphenopopliteal lig

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8

Gianesini, Sergio, Savino Occhionorelli, Erica Menegatti, Anna Maria Malagoni, Mirko Tessari, and Paolo Zamboni. "Femoral vein valve incompetence as a risk factor for junctional recurrence." Phlebology: The Journal of Venous Disease 33, no. 3 (2017): 206–12. http://dx.doi.org/10.1177/0268355517690056.

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Background Recurrent varicose veins occur up to 80% of procedures. The sapheno-femoral junction can be involved in more than 50% of cases. A detailed pathophysiological explanation of the phenomenon is still missing. The aim of the present work is to evaluate the role of femoral vein incompetence as risk factor for sapheno-femoral junction recurrence. Methods Three-hundred-eighty-one patients presenting an incompetent great saphenous vein system and eventually also an incompetent femoral tract (C2-6EpAsdPr) underwent a great saphenous vein high ligation with flush ligation also of the incompet

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9

Ummer, Sameer Babu, and B. Kanchana. "A study to compare the usefulness of a careful clinical examination with venous Doppler studies in patients with varicose veins." International Surgery Journal 5, no. 6 (2018): 2107. http://dx.doi.org/10.18203/2349-2902.isj20181841.

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Background: The significance of recognizing and locating incompetent perforating veins for treating the patients with varicose vein and venous ulcers is well established. Several methods of diagnosing incompetent perforating veins have been evaluated in the past, however, none show satisfactory accuracy in predicting incompetent perforating veins. Clinical examination with digital palpation of fascial defects is the most widely used method. These fascial clefts are generally thought to keep up a correspondence to incompetent perforating veins. Further evidence is obtained when digital pressure

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10

Francis, R. "Treating temporarily incompetent patients." BMJ 311, no. 7009 (1995): 876–77. http://dx.doi.org/10.1136/bmj.311.7009.876b.

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11

Chaudhri, K. "Treating temporarily incompetent patients." BMJ 311, no. 7010 (1995): 948–49. http://dx.doi.org/10.1136/bmj.311.7010.948c.

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12

Kerridge, Ian. "Competent Patients, Incompetent Decisions." Annals of Internal Medicine 123, no. 11 (1995): 878. http://dx.doi.org/10.7326/0003-4819-123-11-199512010-00011.

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13

Greiner, Milka, and Geoffrey L. Gilling-Smith. "Leg Varices Originating from the Pelvis: Diagnosis and Treatment." Vascular 15, no. 2 (2007): 70–78. http://dx.doi.org/10.2310/6670.2006.00030.

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This article reports the investigation and treatment of 24 women presenting with recurrent lower limb varicosities secondary to reflux within the pelvic venous circulation. Diagnosis based on selective retrograde pelvic phlebography enabled precise identification and classification of sites of incompetence. A total of 74 veins were treated by embolization with platinum coils and glue prior to repeat surgery to the lower limb veins. At 4-year follow-up, signs of stasis had disappeared in all patients. Repeat phlebography revealed no evidence of recurrent reflux at the sites of treatment. One pa

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Tong, Y., and J. Royle. "Recurrent Varicose Veins after Short Saphenous Vein Surgery: A Duplex Ultrasound Study." Cardiovascular Surgery 4, no. 3 (1996): 364–67. http://dx.doi.org/10.1177/096721099600400320.

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Recurrent venous reflux in the popliteal fossa of patients with recurrent varicose veins following short saphenous vein surgery was assessed in 70 limbs using a duplex scanner. Incompetence of the short saphenous vein was found to be the main source (61%) of venous reflux in the popliteal fossa (43/70). The recurrence or persistence of the short saphenous vein was subdivided into four types: an intact saphenopopliteal junction, as well as an intact short saphenous vein in 20 limbs (type I); varicosities in the popliteal fossa communicating with a short saphenous vein stump in 11 limbs (type II

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15

Gevers, Sjef, Joseph Dute, and Herman Nys. "Surrogate Decision-making for Incompetent Elderly Patients: The Role of Informal Representatives." European Journal of Health Law 19, no. 1 (2012): 61–68. http://dx.doi.org/10.1163/157180912x615194.

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Abstract Informal or unofficial representation refers to the practice (more common in some European jurisdictions than in others), that persons not designed by a court or by the patient himself, make medical decisions on the patient’s behalf in case of their incompetence. If the law provides for this, it is usually next of kin (spouse, children, brothers and sisters, etc.) who are allowed to act in such a capacity. Informal representation raises several questions. Are family members always familiar with what their relative would have wished, ready to take responsibility, and not too much reign

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16

Brock, Dan W. "Good Decisionmaking for Incompetent Patients." Hastings Center Report 24, no. 6 (1994): S8. http://dx.doi.org/10.2307/3563473.

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17

Olins, Nancy J. "Feeding Decisions for Incompetent Patients." Journal of the American Geriatrics Society 34, no. 4 (1986): 313–17. http://dx.doi.org/10.1111/j.1532-5415.1986.tb04228.x.

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18

Seren, Mustafa, Mert Dumantepe, Osman Fazliogullari, and Suha Kucukaksu. "Combined treatment with endovenous laser ablation and compression therapy of incompetent perforating veins for treatment of recalcitrant venous ulcers." Phlebology: The Journal of Venous Disease 32, no. 5 (2015): 307–15. http://dx.doi.org/10.1177/0268355515594075.

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Objective Patients with healed venous ulcers often experience recurrence of ulceration, despite the use of long-term compression therapy. This study examines the effect of closing incompetent perforating veins (IPVs) on ulcer recurrence rates in patients with progressive lipodermatosclerosis and impending ulceration. Methods Patients with nonhealing venous ulcers of >2 months’ duration underwent duplex ultrasound to assess their lower extremity venous system for incompetence of superficial, perforating, and deep veins. Endovenous laser ablation (EVLA) of perforating veins was performed on p

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Grudzińska, Ewa, Sławomir Grzegorczyn, and Zenon P. Czuba. "Chemokines and Growth Factors Produced by Lymphocytes in the Incompetent Great Saphenous Vein." Mediators of Inflammation 2019 (January 10, 2019): 1–10. http://dx.doi.org/10.1155/2019/7057303.

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The role of cytokines in the pathogenesis of chronic venous disease (CVD) remains obscure. It has been postulated that oscillatory flow present in incompetent veins causes proinflammatory changes. Our earlier study confirmed this hypothesis. This study is aimed at assessing chemokines and growth factors (GFs) released by lymphocytes in patients with great saphenous vein (GSV) incompetence. In 34 patients exhibiting reflux in GSV, blood was derived from the cubital vein and from the incompetent saphenofemoral junction. In 12 healthy controls, blood was derived from the cubital vein. Lymphocyte

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20

Sonnenberg, S., M. Bitsiadou, A. Gidman, and N. Gowland Hopkins. "Results of subfascial endoscopic perforator vein surgery without perioperative marking of perforator veins." Phlebology: The Journal of Venous Disease 21, no. 1 (2006): 50–52. http://dx.doi.org/10.1258/026835506775971180.

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Objectives:This study assesses the anatomical outcome of subfascial endoscopic perforator vein surgery (SEPS) in cases where no perioperative marking of incompetent perforators was used. Methods:Patients who had undergone SEPS and who had been investigated with a preoperative duplex ultrasound scan were identified from hospital records. These patients were recalled for a follow-up duplex ultrasound scan, which was compared with the preoperative investigation. Results:In total, 15 patients (17 limbs) were studied. Four legs (23.5%) had no incompetent perforators at follow-up scan. The remaining

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21

Rohit, Kumar. "A Prospective Analytical Study Assessing Role of Colour Flow Duplex Ultrasound in Clinically Suspected Patients of Chronic Venous Insufficiency of the Lower Limbs." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 161–65. https://doi.org/10.5281/zenodo.11378606.

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Aim: The aim of the present study was to evaluate the role of colour flow duplex ultrasound in clinicallysuspected patients of chronic venous insufficiency of the lower limbs.Methods: The prospective study was done at department of Radiodiagnosis for the period of six months. Total100 cases are included in study with all clinically suspected cases of venous disease of the lower limb, referredto the department of radiodiagnosis were evaluated. All patients underwent detailed colour duplex ultrasound ofthe lower limb venous system.Results: The age group was wide varying from 19-80 yrs. Most comm

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Mosquera, D. A., R. A. Manns, and R. G. M. Duffield. "Phlebography in the Management of Recurrent Varicose Veins." Phlebology: The Journal of Venous Disease 10, no. 1 (1995): 19–22. http://dx.doi.org/10.1177/026835559501000105.

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Objectives: (1) To report the results of phlebography (varicography and venography) in the identification of important venous communications in patients with reurrent varicose veins. (2) To assess whether phlebography provides additional valuable information when compared with clinical and hand-held Doppler examination. Design: Retrospective review. Setting: Vascular unit, district general hospital. Patients: A consecutive series of 46 patients attending with recurrent varicose veins. Interventions: Clinical examination, hand-held Doppler, venography and varicography. Main outcome measures: (1

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Deng, Hong-Li, Yu-Xuan Cong, Hai Huang, et al. "The Effect of Integrity of Lateral Wall on the Quality of Reduction and Outcomes in Elderly Patients with Intertrochanteric Fracture: A Controlled Study." BioMed Research International 2021 (August 9, 2021): 1–8. http://dx.doi.org/10.1155/2021/6563077.

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Objective. The study is aimed at evaluating the effect of the integrity of lateral wall on the quality of reduction and outcome in intertrochanteric fracture treated with proximal femoral nail antirotation (PFNA). Methods. Medical record systems for elderly patients with intertrochanteric fracture treated with PFNA were included. The patients were divided into incompetent and intact lateral wall groups. Patients’ baseline characteristics, quality of reduction, and Harris Hip scores (HHS) were collected. Results. The study included 115 patients with intertrochanteric fractures, with 59 in the i

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Gindes, Daniel. "Judicial Postponement of Death Recognition: The Tragic Case of Mary O'Connor." American Journal of Law & Medicine 15, no. 2-3 (1989): 301–31. http://dx.doi.org/10.1017/s0098858800009850.

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A recent New York Court of Appeals decision seriously impedes the ability of incompetent patients to control their medical care. In the case of Mary O'Connor, the court virtually eliminated an incompetent's rights to bodily integrity and privacy. The court relied on formalistic evidentiary arguments to vitiate the patient's refusal of death-prolonging treatment. This Case Comment examines both the doctrine and policy underlying the O'Connor decision, suggesting that the court erred in its holding and reasoning.An alternative framework is presented, arguing that courts should honor competently

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Belcaro, G., A. Ricci, G. Laurora, M. R. Cesarone, M. T. De Sanctis, and L. Incandela. "Superficial Femoral Vein Valve Repair with Limited Anterior Plication." Phlebology: The Journal of Venous Disease 9, no. 4 (1994): 146–49. http://dx.doi.org/10.1177/026835559400900403.

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Objective: To evaluate the effects after 3 years of a new surgical technique, limited anterior plication (LAP) of the superficial femoral vein. Design: Patients with venous hypertension resulting from deep and superficial venous incompetence were randomized into two treatment groups. Setting: Angiology and Vascular Surgery, Pierangeli Clinic, Pescara, and Cardiovascular Institute, Chieti University, Italy. Patients: Both groups were treated with superficial vein surgery. Group 2 was also treated with LAP. Interventions: Valvuloplasty of the superficial femoral vein was performed with plication

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Madycki, G., P. Dabek, A. Gabrusiewicz, and W. Staszkiewicz. "Recurrent varicose veins assessed by colour-coded duplex scanning: own experience." Phlebologie 29, no. 03 (2000): 58–61. http://dx.doi.org/10.1055/s-0037-1617235.

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SummaryAim: Authors performed a retrospective analysis of causes of recurrent varicose veins following surgery. Methods: They evaluated 89 patients (65 women and 24 men, mean age 49.7 years). All patients previously underwent same surgical procedures (long saphenous vein stripping with/without local multiple avulsions). For the purpose of the study, colour/duplex examinations were applied (Siemens Sonoline Elegra unit). Results: Depending on the type and area of recurrent varicose veins, patients were classified into 4 groups. Group I – 22 patients (persistence of varicose tributaries of LSV i

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Emanuel, Ezekiel J. "Proxy Decision Making for Incompetent Patients." JAMA 267, no. 15 (1992): 2067. http://dx.doi.org/10.1001/jama.1992.03480150073040.

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Kalodiki, E., L. Calahoras, G. Geroulakos, and A. N. Nicolaides. "Liquid Crystal Thermography and Duplex in the Preoperative Marking of Varicose Veins." Phlebology: The Journal of Venous Disease 10, no. 3 (1995): 110–14. http://dx.doi.org/10.1177/026835559501000307.

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Objective: To determine the role of liquid crystal thermography (LCT) in preoperative marking of varicose veins and incompetent perforating veins. Design: Single patient group study comparing techniques. Setting: Teaching hospital vascular laboratory. Patients: Two hundred patients (265 legs) referred to St Mary's Hospital Vascular Laboratory for preoperative varicose vein marking. Methods: Patients were studied using LCT and duplex ultrasonography to identify calf perforating veins. Results: In part I of the study LCT identified 47 ‘areas at risk’, 42 of which were demonstrated to contain inc

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Einarsson, E., B. Eklöf, and P. Neglén. "Sclerotherapy or Surgery as Treatment for Varicose Veins: A Prospective Randomized Study." Phlebology: The Journal of Venous Disease 8, no. 1 (1993): 22–26. http://dx.doi.org/10.1177/026835559300800106.

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Objective: To compare the long-term results following radical surgery or compression sclerotherapy (CST) of primary varicose veins. Design: Prospective, randomized study of 164 patients. The patients were assessed with clinical tests and foot volumetry, before the 6 months, 1, 3 and 5 years after treatment. Setting: Department of Surgery, University of Lund, Sweden. Patients: 164 patients referred to the clinic for treatment of symptomatic primary varicose veins. Eighty patients were randomized to surgery and 84 to CST. Interventions: Sclerotherapy was applied using the ‘empty vein’ technique

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Holme, T. C., and D. Negus. "The Treatment of Venous Ulceration by Surgery and Elastic Compression Hosiery; A Long-Term Review." Phlebology: The Journal of Venous Disease 5, no. 2 (1990): 125–28. http://dx.doi.org/10.1177/026835559000500208.

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Seventy-six patients with venous ulceration of 108 legs were treated by the ligation of incompetent calf perforating veins, with saphenous ligation and stripping where necessary and with the addition of knee length elastic compression stockings for those with deep venous reflux. Review at a mean 6 years after treatment has shown that 74% remain healed and there is no significant difference between those with and without deep vein incompetence. Where patients with rheumatoid arthritis and/or arterial insufficiency were excluded, 84% remain healed.

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Busch, Kathryn, Judith Doyle, Martin Forbes, Geoffrey White, John Harris, and Michael Stephen. "Horseshoes Are Not Always Lucky: A Rare Cause of Varicose Veins." Journal for Vascular Ultrasound 33, no. 1 (2009): 36–39. http://dx.doi.org/10.1177/154431670903300108.

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Introduction Color duplex ultrasound (CDU) assessment for patients with varicose veins has increased in prevalence as new techniques for treatment continue to emerge. Occasionally, patients present with atypical varicosities that warrant the typical study to be extended to unveil the true underlying cause of the condition. Clinical Details A 41 year old man presented to our laboratory for assessment of bilateral varicose veins. He had recently developed venous eczema. Examination of the patient revealed large varicose veins associated with the long saphenous system, especially prominent on the

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Zolotukhin, Igor A., Evgeny I. Seliverstov, Elena A. Zakharova, and Alexander I. Kirienko. "Short-term results of isolated phlebectomy with preservation of incompetent great saphenous vein (ASVAL procedure) in primary varicose veins disease." Phlebology: The Journal of Venous Disease 32, no. 9 (2016): 601–7. http://dx.doi.org/10.1177/0268355516674415.

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Objective To establish an effect of isolated phlebectomy in patients with incompetent great saphenous vein (Ambulatory Selective Varices Ablation under Local anesthesia (ASVAL) procedure) on the reflux and diameter of the trunk and to assess recurrence rate of varicose veins at one year. Material and methods We conducted a prospective study on patients with primary varicose veins and with C2 or C2,3 or C2,3,4 or C2,4 classes of chronic venous disease and great saphenous vein incompetence. The study included 67 patients (51 women and 16 men; 75 limbs in total). Age varied from 17 to 71 years; m

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Gibson, Kathleen, Neil Khilnani, Marlin Schul, and Mark Meissner. "American College of Phlebology Guidelines – Treatment of refluxing accessory saphenous veins." Phlebology: The Journal of Venous Disease 32, no. 7 (2016): 448–52. http://dx.doi.org/10.1177/0268355516671624.

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The American College of Phlebology Guidelines Committee performed a systematic review of the literature regarding the clinical impact and treatment of incompetent accessory saphenous veins. Using an accepted process for guideline developments, we developed a consensus opinion that patients with symptomatic incompetence of the accessory great saphenous veins (anterior and posterior accessory saphenous veins) be treated with endovenous thermal ablation (laser or radiofrequency) or ultrasound-guided foam sclerotherapy to eliminate symptomatology (Recommendation Grade 1C).

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Bean, Graham, Shizuhiko Nishisato, Neil A. Rector, and Graham Glancy. "The Assessment of Competence to Make a Treatment Decision: An Empirical Approach." Canadian Journal of Psychiatry 41, no. 2 (1996): 85–92. http://dx.doi.org/10.1177/070674379604100205.

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Objective: To compare physicians' judgements of competency in routine clinical practice with the findings obtained from a structured clinical interview. Methods: Ninety-six patients referred for electroconvulsive therapy were administered the Competency Interview Schedule (CIS) prior to their first treatment. Cluster analysis was employed to categorize patients to 1 of 5 cluster centres represented by case studies previously judged competent or incompetent by lawyers and health professionals. Results: A match-mismatch table revealed 88% (N = 66) of the 75 patients found competent by the attend

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Nelzén, P. Oskar E., Johan Skoog, Malin Öster, and Helene Zachrisson. "Impact on venous haemodynamics after treatment of great saphenous vein incompetence using plethysmography and duplex ultrasound." Phlebology: The Journal of Venous Disease 35, no. 7 (2020): 495–504. http://dx.doi.org/10.1177/0268355519898952.

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Objectives To evaluate postoperative venous haemodynamics and quality of life after treatment of great saphenous vein (GSV) incompetence. Methods Radiofrequency ablation and high ligation and stripping were performed in 62 patients (65 limbs) and 58 (65 limbs), respectively. Phlebectomies were performed in both modalities. Strain-gauge plethysmography on the foot combined with superficial venous occlusion was used to measure refilling time after knee bends. Strain-gauge plethysmography, duplex ultrasound and quality of life were assessed before and one month after treatment. Results Duplex ult

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Gloviczki, P. "Surgical Treatment of the Superficial and Perforating Veins." Phlebology: The Journal of Venous Disease 15, no. 3-4 (2000): 131–36. http://dx.doi.org/10.1177/026835550001500309.

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Objective: To review the techniques and results of surgical treatment of the superficial and perforating veins in patients with chronic venous insufficiency. Methods: The current techniques used at the Mayo Clinic for treatment of simple varicose veins and venous ulcers are presented. Results of subfascial endoscopic perforator vein surgery (SEPS) are discussed and data from large centres are tabulated. Results are compared with those reported following non-operative management. Synthesis: High ligation and invagination stripping of the incompetent segment of the saphenous vein, with stab avul

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Swartz, Martha. "The Patient Who Refuses Medical Treatment: A Dilemma for Hospitals and Physicians." American Journal of Law & Medicine 11, no. 2 (1985): 147–94. http://dx.doi.org/10.1017/s0098858800008674.

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AbstractThis Article reviews recent case and statutory law concerning patients who refuse medical treatment. Among the special cases considered are: 1) the competent adult patient who refuses treatment on religious or privacy grounds; 2) the incompetent patient whose own wishes were never expressed, but whose family refuses treatment; 3) the incompetent patient who expressed the wish not to be treated before becoming incompetent; and 4) parents who refuse treatment on behalf of their child.It is pointed out that recent court decisions have blurred the distinctions between “extradordinary” care

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Robinson, Ellen M. "Caring for Incompetent Patients and Their Surrogates." American Journal of Nursing 101, no. 7 (2001): 75–76. http://dx.doi.org/10.1097/00000446-200107000-00030.

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Morrison, Allan B. "Physician liability for treating mentally incompetent patients." Psychiatric Bulletin 12, no. 12 (1988): 520–22. http://dx.doi.org/10.1192/pb.12.12.520.

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The issue of the rights and obligations of those involved in doing research on patients who are incapable of giving their consent to treatment is a difficult one. This difficulty is reflected in the papers and discussion which form the basis of the book Consent and the Incompetent Patient: Ethics, Law and Medicine (eds. S. R. Hirsch & J. Harris) and that were the subject of the conference that led to it. Had I been in attendance, I am sure that I would have gained insights not available from the printed version on which I have had to rely. Nonetheless, I have sufficient sense of the procee

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Wilson, Daniel R., Rodgers Wilson, and Kenneth Tepe. "Court-authorized medication for incompetent hospitalized patients." New Directions for Mental Health Services 23, no. 75 (1997): 73–80. http://dx.doi.org/10.1002/yd.2330237509.

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Prabhu, M. Ajoo Anto, and Alok Mohanty. "Accuracy of clinical methods and doppler ultrasound in detection of incompetency of sapheno-femoral junction and perforators compared with operative results." International Surgery Journal 4, no. 10 (2017): 3300. http://dx.doi.org/10.18203/2349-2902.isj20174165.

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Background: Varicose veins, though a common condition, many time remains asymptomatic. The accurate diagnosis of varicose veins is of great importance in planning effective treatment. It is essential to bring out the accuracy of various diagnostic methods of varicose veins, so that early intervention can be achieved and recurrence can be prevented. The objective of this study was to our study was done with the intention of assessing the accuracy of Clinical evaluation of incompetence of Sapheno-Femoral Junction (SFJ) and perforators over doppler ultrasound evaluation and its Intra-operative co

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Chastanet, S., and P. Pittaluga. "Influence of the competence of the sapheno-femoral junction on the mode of treatment of varicose veins by surgery." Phlebology: The Journal of Venous Disease 29, no. 1_suppl (2014): 61–65. http://dx.doi.org/10.1177/0268355514529207.

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Background It is usually agreed that incompetence of the sapheno-femoral junction (SFJ) is the main indication for stripping or ablation of the great saphenous vein (GSV) in the treatment of varicose veins (VVs). We wanted to test this assumption in our surgical treatment of varicose veins. Methods Study design: retrospective study of the surgical procedures for VVs in our centre between January and October 2012 in patients with reflux in the GSV. The SFJ was considered to be incompetent when both terminal and pre-terminal valves were assessed as incompetent by duplex ultrasound duplex imaging

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Alpers, Ann, and Bernard Lo. "Avoiding Family Feuds: Responding to Surrogate Demands for Life-Sustaining Interventions." Journal of Law, Medicine & Ethics 27, no. 1 (1999): 74–80. http://dx.doi.org/10.1111/j.1748-720x.1999.tb01438.x.

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The laws and ethical guidelines governing decision making for incompetent patients evolved from controversies in which family members refused life-sustaining interventions. These cases led to a consensus that advance directives to limit interventions should be respected and that a surrogate designated by the patient or specified by statute could refuse interventions, even when other relatives disagreed. Surrogate decision-making statutes and ethical principles about respect for delegated autonomy promote an active role for family members or other surrogates in medical decisions for incompetent

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Grigoryants, A. A., V. V. Avrutskaya, I. I. Krukier, and D. V. Aksenenko. "The effectiveness of surgical and conservative treatment of patients with endometriosis of the uterine scar after cesarean section." Medical alphabet, no. 19 (November 1, 2024): 28–32. http://dx.doi.org/10.33667/2078-5631-2024-19-28-32.

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Target. To analyze the effectiveness of surgical and conservative treatment of patients with an incompetent uterine scar and endometriosis in the scar after cesarean section.Materials and methods of research. A retrospective analysis of 64 medical records of patients with a uterine scar and endometriosis in the scar for the period from 2021 to 2023 was carried out at the medical center, which is the clinical base of the Department of Obstetrics and Gynecology No. 2 of the Stavropol State Medical University.Results. The analysis showed the high effectiveness of surgical treatment of patients in

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Santiago, Fabricio R., Mario Piscoya, and Yung-Wei Chi. "A sonographic study of thigh telangiectasias." Phlebology: The Journal of Venous Disease 33, no. 7 (2017): 500–501. http://dx.doi.org/10.1177/0268355517717404.

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Introduction To date, there are limited descriptive data on the ultrasonographic characteristics of reticular and perforator veins associated with telangiectasias of the thigh. Objectives Evaluate the prevalence, anatomic correlations of reticular and perforator veins associated with lateral thigh telangiectasias. Methods This was a cohort study performed between June and December of 2014. Twenty-four female patients (43 limbs) with telangiectasias of the lateral thigh were evaluated by duplex ultrasound. Reticular and perforator veins were characterized according to valvular competency, vein

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Schanzer, H., M. Skladany, and E. C. Peirce. "The Role of External Banding Valvuloplasty in the Surgical Management of Chronic Deep Venous Disease." Phlebology: The Journal of Venous Disease 9, no. 1 (1994): 8–12. http://dx.doi.org/10.1177/026835559400900103.

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Objective: Correction of venous reflux by perivalvular banding in patients suffering from chronic venous stasis secondary to primary valvular incompetence. Design: Prospective study in a group of patients with severe venous insufficiency. One patient (one extremity) was lost to follow-up. Setting: Tertiary care teaching hospital. Patients: Twelve patients (13 extremities) with severe or moderate venous insufficiency. Interventions: Correction of valvular incompetence by narrowing a valvular ring with an external band. Twenty-seven bands were fitted to incompetent valves of 13 extremities. Main

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Vassilouthis, John, Angelos Kalovithouris, Athinodoros Papandreou, and Stergios Tegos. "The Symptomatic Incompetent Cervical Intervertebral Disc." Neurosurgery 25, no. 2 (1989): 232–39. http://dx.doi.org/10.1227/00006123-198908000-00013.

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Abstract A series of 16 patients with symptoms such as pain in the neck, occiput, shoulder and arm; numbness in the hands: and/or difficulty in walking, is described. Neurological examination of the upper extremities disclosed signs of nerve roots dysfunction in 5 patients and long tract signs in 12, whereas examination of the lower extremities disclosed long tract signs in every patient. Positive contrast cervical myelograms suggested mild posterior bulging of one or two intervertebral discs in every patient, but computed tomographic myelograms invariably demonstrated a coincident narrow cerv

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Prasad BP, Krishna, Binu Joy, Ajith Toms, and Teena Sleeba. "Treatment of incompetent perforators in recurrent venous insufficiency with adhesive embolization and sclerotherapy." Phlebology: The Journal of Venous Disease 33, no. 4 (2017): 242–50. http://dx.doi.org/10.1177/0268355517696612.

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Recurrent lower limb venous insufficiency is often a challenge in clinical practice and is most commonly due to incompetent perforators. Many of these patients do not have adequate symptom relief with compression and require some form of treatment for incompetent perforator interruption. Various treatment methods have been tried with different efficiencies. Objective To evaluate the feasibility, efficiency and safety of an outpatient combined cyanoacrylate adhesion–sodium tetradecyl sulphate sclerotherapy for treatment of patients with symptoms of persistent or recurrent lower limb venous insu

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Emanuel, Ezekiel J. "A Communal Vision of Care for Incompetent Patients." Hastings Center Report 17, no. 5 (1987): 15. http://dx.doi.org/10.2307/3562665.

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Helmchen, Hanfried. "Research with patients incompetent to give informed consent." Current Opinion in Psychiatry 11, no. 3 (1998): 295–97. http://dx.doi.org/10.1097/00001504-199805000-00010.

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