Abstract
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.
Keywords
Get full access to this article
View all access options for this article.
References
1.
Burnand
K.
Lea Thomas
M.
O'Donnel
T.
Browse
N.L.
Relation between post-phlebitic changes in the deep veins and results of surgical treatment of venous ulcers . Lancet
1976 ; 1 : 936 –8 .
2.
Negus
D.
Friedgood
A.
The effective management of venous ulceration . Br J Surg
1983 ; 70 : 623 –7 .
3.
Dodd
H.
The diagnosis and treatment of incompetent perforating veins . Ann Roy Coll Surg Eng
1964 ; 34 : 186 –96 .
4.
Recek
E.
A critical appraisal of the role of ankle perforators for the genesis of venous ulcers in the lower leg . J Cardiovasc Surg
1971 ; 12 : 45 .
5.
Haeger
K.
Leg ulcers . In The Treatment of Venous Disorders , ed
Hobbs
T.J.
Lancaster : MTP , 1977 .
6.
Browse
N.L.
Venous ulceration . Br Med J
1983 ; 286 : 1820 –2 .
7.
Miller
S.S.
Foote
A.V.
The ultrasonic detection of incompetent perforating veins . Br J Surg
1974 ; 61 : 653 .