Canadian journal of surgery. Journal canadien de chirurgie
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Inguinal neuralgia, an uncommon condition, can readily be diagnosed if the anatomy of the sensory nerves of the lumbar plexus is understood. The authors review 50 patients with this condition, pointing out the importance of injury to these nerves, not only on the anterior abdominal wall but also in the retroperitoneal space on the posterior abdominal wall. Successful treatment is achieved by surgical section of the nerves. First the inguinal region is explored; if this does not result in cure the authors recommend retroperitoneal section of the nerve.
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Varicose veins are a very common problem, affecting women more than men. The major concern is usually the unsightly appearance of the veins. Various options to deal with this problem are discussed-- compression stockings, compression sclerotherapy and surgery. ⋯ Sclerotherapy is best used for dilated superficial or residual varicose veins, recurrent varicosities or leg perforators. Operation should be reserved for very large varicose veins or an incompetent long or short saphenous vein. A sound understanding of the problems and discussion of anticipated results with the patient will prevent unrealistic expectations.