Charmaine C Harrison's scientific contributions

Publications (7)

Article
Full-text available
Neovascularization after vein stripping is well recognized as a contributory cause of varicose vein recurrence. Treatment is challenging because of segment tortuosity and fibrous web formation. Surgical re-exploration is practiced, but foam sclerotherapy is becoming preferred. We suggest an alternative method using thermoablation with a technique o...
Article
Background Pelvic venous reflux has been proven to contribute to the development of primary and recurrent varicose veins, vulval/labial varicose veins and pelvic congestion syndrome. It is associated with lower limb varicose veins in 20% of patients who have a history of at least one prior vaginal delivery. Pelvic vein embolisation is known to be a...
Article
Pelvic venous reflux is known to be associated with lower limb varicose veins in 20% of women with a history of at least one previous vaginal delivery. Pelvic vein embolisation with coils has been shown to be a successful treatment in the short term. The objective of this study was to ascertain the long-term outcomes of pelvic vein embolisation for...
Article
Objective The objective of this study was to report a phenomenon in patients with primary varicose veins that resembles neovascular tissue in postsurgical recurrences—primary avalvular varicose anomalies (PAVA). Methods Between March 2012 and July 2013, 756 patients (122 men, 634 women) with primary varicose veins (mean age, 53 years; range, 18-89...
Article
Objective: We have previously reported strip-tract revascularization 1 year following high saphenous ligation and inversion stripping. This study reports the 5-8 year results in the same cohort. Methods: Between 2000 and 2003, 72 patients presented with primary varicose veins and had undergone high saphenous ligation and inversion stripping plus...
Article
To determine the prevalence of haemorrhoids in women with pelvic vein reflux, identify which pelvic veins are associated with haemorrhoids and assess if extent of pelvic vein reflux influences the prevalence of haemorrhoids. Females presenting with leg varicose veins undergo duplex ultrasonography to assess all sources of venous reflux. Those with...
Article
Endovenous laser ablation is a minimally invasive catheter-based procedure for the treatment of varicose veins. The procedure involves injecting tumescent anaesthesia around the catheterised truncal vein, before thermal ablation by the laser. We report a case of a false aneurysm arising from a branch of the inferior epigastric artery, following end...

Citations

... No pathological changes were observed in their gynaecological examinations or endocrine evaluations, thus ovarian varices seemed to be the sole suspected factor of their infertility (14). Dos Santos et al. reported good safety outcomes for coil embolization of pelvic veins in 8 patients (15). In our cohort, embolization of ovarian veins enhanced the chance of becoming pregnant, and no changes were observed in female hormone levels. ...
... The first group (n = 42) included patients with symptoms and signs of PeVD (CPP, heaviness in hypogastrium, dyspareunia, dysuria, vulvar varicosities). The intensity of pain syndrome was evaluated using a visual analogue scale (VAS) ranging from 0 to 10 scores (where 0 is no pain and 10 is maximum pain) and was graded as mild (1)(2)(3)(4), moderate (5)(6) or severe (7)(8)(9)(10). The second group (n = 38) consisted of patients without clinical manifestations of PeVD, in whom pelvic varicose veins were identified accidentally during a routine gynecological ultrasound examination of the pelvic organs or during examination for chronic venous disease (CVD) of the lower extremities. ...
... Primary avalvular varicose anomaly (PAVA) is a new phenomenon defined as tortuous, thin-walled and incompetent veins in patients presenting with primary varicose veins (VVs), resembling neovascularized tissue on ultrasound and surgical examination [1]. ...
... 13,14 • Stripping varicose veins out surgically does not permanently remove veins, as most grow back but without valves, during the healing process, causing the same problem to recur. 15,16 Although both health-care professionals and the public are aware of endovenous surgery, particularly with the profusion of websites and adverts on the internet for minimally invasive treatments for varicose veins, few are aware of the major changes in the understanding of varicose veins and their management. Indeed, many doctors who perform endovenous surgery have merely replaced stripping with an endovenous procedure, without realising that the whole approach to the management of varicose veins has changed, and our understanding of the underlying pathophysiology has improved significantly. ...
... В основе развития вторичной ВБМТ лежит флебогипертензия, возникающая при существовании затруднения венозного оттока из органов малого таза [4]. В свою очередь, причинами флебогипертензии могут являться артериовенозные конфликты (компрессия подвздошных венсиндром Мея-Тернера, аорто-мезентериальная компрессия левой почечной вены -«синдром щелкунчика»), компрессия вен за счет опухолевых процессов, тромботическая венозная обструкция, компрессия вен вследствие аневризматического расширения брюшного отдела аорты, подвздошных артерий [5]. ...
... 5 While being a step forward from traditional ligation and stripping, endovenous thermal ablation also comes with its unique set of side effects, including bruising, paraesthesia, discomfort and pseudoaneurysm formation. 6 In addition, tumescent anaesthesia is needed, requiring multiple needlestick passes and patients often are required to wear compression stockings for a period of time after the operation. To counter these shortfalls, newer nonthermal, non-tumescent (NTNT) techniques, which remove the need for uncomfortable thermal ablation and tumescent anaesthesia while achieving similar efficacies of treatment, have been introduced. ...