Comparison of Surgery and Compression with Compression Alone in Chronic Venous Ulceration (ESCHAR study): Randomised Controlled Trial

Abstract

The authors conducted a study to assess healing and recurrence rate of venous leg ulceration after treatment with compression. with or without surgery, in patients with leg ulceration. Pati ents with isolated superficial venous reflux and mixed superficial and deep reflux were allocated to compression treatment alone or in combination with superficial venous surgery. Compression consisted of multilayer compression bandaging until healing and then class 2 stockings. Healing rates were similar in the both groups, but 12-month ulcer recurrence rates were significantly reduced in the compression and surgery group. The authors concluded that most patients with chronic venous ulceration will benefit from the addition of simp.e venous surgery.

Keywords

venous leg ulceration compression! superficial venous surgerj

Get full access to this article

View all access options for this article.

References

1. Von Gent BW , Symbrondy JE , Hop WC , et al: The Dutch SEPS Trial. Presented at American Venous Forum, February, 2005.

2. Dwerryhouse S , Davies B , Harradine K , et al: Stripping the long saphenous vein in the treatment of reoperation for recurrent varicose veins: five-year results of a randomized study. J Vasc Surg 29:589-592, 1999.

3. Gloviczki P : Do we need evidence-based medicine in the field of venous disease? Perspect Vasc Surg Endovasc Ther 16:129-133, 2004.

4. Lurie F , Creton D , Eklof B , et al: Prospective randomized study of endovenous radiofrequency obliteration (closure procedure) versus ligation and stripping in a se- lected patient population (EVOLVeS Study). J Vasc Surg 38:207-217, 2003.

5. Puggioni A , Kalra M , Charboneau WJ , et al: EVLT for venous ulcer. Endovascular Today Suppl:20-22, 2004.