[Study of venous insufficiency in the light of ambulatory phlebectomy]

Considering an ambulatory phlebectomy is, first, a thorough analysis of the venous insufficiency: visual and manual analysis, provides macroscopic informations on the varicose veins disease; superficial venous Doppler is irreplaceable to monitor the reflux and screen varicose tracts and insufficient perforators, without clinical manifestations, as well as recurrent sources if neglected; ultra-sonography and varicose veins phlebography will enlighten borderline cases; the evaluation of the results of previous treatments on the tissues (surgery, sclerosis, thrombectomy), of trophic complications (sclerous hypodermatitis, calcinosis) and of scarred or pigmented abnormalities, will permit to "evaluate the area" of this ambulatory phlebectomy.