Matches in UGent Biblio for { ?s ?p Aim : deep vein thrombophlebitis of the lower leg is an uncommon complication with a difficult diagnosis , severe morbidity and mortality but its incidence increases with the devlopment of intensive care units . Case reports and articles on this subject are quite rare , in cotrast to post catheterisation thrombophlebitis Methods : Based on a case report we discuss different therapeutic modalities : anticoagulatn therapy combined with compression bandages and broad spectrum antibiotics ; versus surgery (venous trombectomy , venous thrombolysis or deep phlebectomy) followed by anticoagulant therapy , antibiotics and compression stockings. "Do we have to operate or not, At what time do we have to operate and which operation?" This are the questions we have to answer. Discussion . Most cases can be managed by conservative treatment. Broad-spectrum antibiotics are added basedon cultures , if negative and other sources of infection are excluded they are started on empirical base and give for at least 6 weeks (amoxiclav with aminoglycoside). Surgical therapy for DVT consists of thrombectomy or thrombolysis in patients withcerulea alba dolens and in young patients with thrombosis of the common femroal or iliac vein to avoid chornic venous insufficiency. The uncomplete removal of the thrombus more then 2 weeeks after onset is a disadvantage of both procedures.deep phlebectomy is the only operation where every septic focus is removed but has a high risk of mrobidity and mortality due to the extent of the operation. If septicemia persists after 4 weeks broad spectrum antibiotics a surgical thrombectomy or thrombolysis is performed. A full excision of the suppurating vein is avoided , if there is perioperative full adhesion of the clot then you have no other choice. Conclusion . After review of the literature (only 12 case reports) we recommend our therapy flow chart , but more cases must be reported to supportour therapeutic guidelines. }
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- aggregation abstract "Aim : deep vein thrombophlebitis of the lower leg is an uncommon complication with a difficult diagnosis , severe morbidity and mortality but its incidence increases with the devlopment of intensive care units . Case reports and articles on this subject are quite rare , in cotrast to post catheterisation thrombophlebitis Methods : Based on a case report we discuss different therapeutic modalities : anticoagulatn therapy combined with compression bandages and broad spectrum antibiotics ; versus surgery (venous trombectomy , venous thrombolysis or deep phlebectomy) followed by anticoagulant therapy , antibiotics and compression stockings. "Do we have to operate or not, At what time do we have to operate and which operation?" This are the questions we have to answer. Discussion . Most cases can be managed by conservative treatment. Broad-spectrum antibiotics are added basedon cultures , if negative and other sources of infection are excluded they are started on empirical base and give for at least 6 weeks (amoxiclav with aminoglycoside). Surgical therapy for DVT consists of thrombectomy or thrombolysis in patients withcerulea alba dolens and in young patients with thrombosis of the common femroal or iliac vein to avoid chornic venous insufficiency. The uncomplete removal of the thrombus more then 2 weeeks after onset is a disadvantage of both procedures.deep phlebectomy is the only operation where every septic focus is removed but has a high risk of mrobidity and mortality due to the extent of the operation. If septicemia persists after 4 weeks broad spectrum antibiotics a surgical thrombectomy or thrombolysis is performed. A full excision of the suppurating vein is avoided , if there is perioperative full adhesion of the clot then you have no other choice. Conclusion . After review of the literature (only 12 case reports) we recommend our therapy flow chart , but more cases must be reported to supportour therapeutic guidelines".