Compression and Venous Surgery for Venous Leg Ulcers

2012 ◽  
Vol 39 (3) ◽  
pp. 269-280 ◽  
Author(s):  
Giovanni Mosti
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Venous Surgery

Healing rates following venous surgery for chronic venous leg ulcers in an independent specialist vein unit

2013 ◽  
Vol 28 (3) ◽  
pp. 132-139 ◽  
Author(s):  
C A Thomas ◽  
J M Holdstock ◽  
C C Harrison ◽  
B A Price ◽  
M S Whiteley
Keyword(s):  
Retrospective Study ◽  
Clinical Improvement ◽  
Ulcer Healing ◽  
Surgical Intervention ◽  
Response Rate ◽  
Significant Proportion ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Venous Surgery

Objectives This is a retrospective study over 12 years reporting the healing rates of leg ulcers at a specialist vein unit. All patients presented with active chronic venous leg ulcers (clinical, aetiological, anatomical and pathological elements [CEAP]: C6) and had previously been advised elsewhere that their ulcers were amenable to conservative measures only. Method Seventy-two patients (84 limbs) were treated between March 1999 and June 2011. Patients were contacted in August 2011 by questionnaire and telephone. Of 72 patients, two were deceased and two had moved location at follow-up, so were not contactable. Fifty patients replied and 18 did not (response rate 74%), representing a mean follow-up time of 3.1 years. Results Ulcer healing occurred in 85% (44 of 52 limbs) of which 52% (27) limbs were no longer confined to compression. Clinical improvement was achieved in 98% of limbs. Conclusions This study shows that a significant proportion of ulcers currently managed conservatively can be healed by surgical intervention.

Simultaneous Superficial Venous Surgery and On-Table Subintimal Angioplasty in the Treatment of Venous Leg Ulcers With Arterial Compromise

2005 ◽  
Vol 12 (6) ◽  
pp. 739-745 ◽  
Author(s):  
Christos D. Karkos ◽  
Charlotte Holbrook ◽  
Sotirios A. Makris ◽  
Guy Fishwick ◽  
Nicholas J. M. London ◽  
...  
Keyword(s):  
Leg Ulcers ◽  
Subintimal Angioplasty ◽  
Venous Leg Ulcers ◽  
Venous Surgery

Early and long-term results of physical methods in the treatment of venous leg ulcers: randomized controlled trial

2011 ◽  
Vol 26 (6) ◽  
pp. 237-245 ◽  
Author(s):  
J Taradaj ◽  
A Franek ◽  
L Cierpka ◽  
L Brzezinska-Wcislo ◽  
E Blaszczak ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Laser Therapy ◽  
Therapy Group ◽  
Compression Therapy ◽  
Long Term Results ◽  
Leg Ulcers ◽  
Physical Methods ◽  
Venous Leg Ulcers ◽  
Venous Surgery

Objective To estimate early and long-term results of physical methods in the treatment of venous leg ulcers. Method In group A after surgical operation, 40 patients were treated with the high-voltage stimulation (HVS) (100 µs, 100 Hz, 100 V) and drug therapy. In group B after operation, 37 patients were treated with ultrasound (0.5 W/cm2, 1 MHz) and drug therapy. In group C after operation, 33 patients were treated with low-level laser therapy (LLLT) (810 nm, 65 mW) and drug therapy. In group D after operation, 35 patients were treated with the compression stockings (25–31 mmHg) and drug therapy. In group E after operation, 37 patients were only treated with drug therapy. Group F consisted of 32 patients, conservatively treated with the HVS and drug therapy. Group G consisted of 20 patients, conservatively treated with ultrasound and drug therapy. Group H consisted of 21 patients, conservatively treated with LLLT and drug therapy. Group I consisted of 30 patients, conservatively treated with compression and drug therapy. Group J consisted of 27 patients only treated with drug therapy. Results Both short and long term parameters showed that compression therapy is the most efficient in ulcer healing. The electrical and ultrasound methods are less effective. The laser therapy ared useless. Conclusion Superficial venous surgery in addition to compression therapy is the most efficient treatment of venous leg ulcers. The compression therapy should be continued both surgically and conservatively treated patients with healed ulcers. In special cases after superficial venous surgery (isolated superficial reflux) compression therapy could be applied only to the time of ulcer closure without continuing it longer. HVS and ultrasound therapy are useful methods in conservative treatment of venous leg ulcers. For surgically-treated patients these physical therapies are efficient only in superficial plus deep reflux cases. HVS and ultrasound can be alternative methods, but are less effective in recurrence risk. LLLT is not an efficient physical method in treatment of venous leg ulcers.

Effect of foam sclerotherapy on healing and long-term recurrence in chronic venous leg ulcers

2013 ◽  
Vol 28 (3) ◽  
pp. 140-146 ◽  
Author(s):  
S R Kulkarni ◽  
F J A Slim ◽  
L G Emerson ◽  
C Davies ◽  
R A Bulbulia ◽  
...  
Keyword(s):  
Ulcer Healing ◽  
Healing Rate ◽  
Leg Ulcers ◽  
Venous Reflux ◽  
Foam Sclerotherapy ◽  
Recurrence Rates ◽  
Venous Ulceration ◽  
Venous Leg Ulcers ◽  
Venous Surgery

Introduction The ESCHAR trial showed that superficial venous surgery and compression in chronic venous ulceration achieved a 24-week healing rate of 65% and 12-month recurrence rate of 12%. Foam sclerotherapy treatment is an alternative to surgery. The aim of this study is to assess the effect of foam sclerotherapy on ulcer healing and recurrence in chronic venous leg ulcers. Methods Chronic venous leg ulcers (CEAP [clinical, aetiological, anatomical and pathological elements] 5 and CEAP 6) with superficial venous reflux were treated between March 2006 and June 2011 with ultrasound-guided foam sclerotherapy and compression. Venous duplex was performed on all legs before and after treatment. Twenty-four-week ulcer healing and one- and four-year ulcer recurrence rates were calculated using Kaplan–Meier survival analysis. Results Two hundred legs (186 patients) with chronic venous ulcers (CEAP 5: n = 163 and CEAP 6: n = 37) were treated with foam sclerotherapy. Complete occlusion was achieved in 185/200 (92.5%) limbs, short segment occlusion in 14/200 (7%) limbs and one leg segment failed to occlude. One patient suffered an asymptomatic non-occlusive deep vein thrombosis (DVT) diagnosed on duplex scan at one week and one presented with an occlusive DVT three weeks following a normal scan at one week. One patient developed an asymptomatic occlusive DVT at two weeks following a non-occlusive DVT diagnosed on initial one-week scan. Eighteen patients were lost to follow-up (3 moved away and 15 died of unrelated causes). The 24-week healing rate was 71.1% and one- and four-year recurrence rates were 4.7% and 28.1%, respectively. Conclusion Foam sclerotherapy is effective in abolition of superficial venous reflux and may contribute to similar ulcer healing and long-term recurrence rates to superficial venous surgery. Foam sclerotherapy is an attractive alternative to surgery in this group of patients.

Superficial venous surgery as a management for chronic venous leg ulcers

2016 ◽  
Vol 14 (2) ◽  
pp. 81
Author(s):  
MohamedMohamed Mogahed ◽  
WessamMostafa Abdellatif
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Venous Surgery

scholarly journals Influence of a specialised leg ulcer service and venous surgery on the outcome of venous leg ulcers

1998 ◽  
Vol 16 (3) ◽  
pp. 238-244 ◽  
Author(s):  
A.S.K. Ghauri ◽  
I. Nyamekye ◽  
A.J. Grabs ◽  
J.R. Farndon ◽  
M.R. Whyman ◽  
...  
Keyword(s):  
Leg Ulcer ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Venous Surgery

The comparative impact of conservative treatment versus superficial venous surgery, for the treatment of venous leg ulcers: A systematic review of the impact on patients’ quality of life

2015 ◽  
Vol 31 (2) ◽  
pp. 82-93 ◽  
Author(s):  
Philippa Tollow ◽  
Jane Ogden ◽  
Mark S Whiteley
Keyword(s):  
Quality Of Life ◽  
Future Research ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Psychological Mechanisms ◽  
Compression Bandaging ◽  
Venous Surgery ◽  
The Impact ◽  
Positive Effect

Objectives Leg ulcers are known to have a profound effect on patients’ quality of life; however, the influence of different treatment approaches is unclear. This review aims to evaluate the comparative impact of conservative treatments and superficial venous surgery, for venous leg ulcers, on patients’ Quality of Life. Data sources Three electronic databases (PsycInfo, Medline and CINAHL), and reference lists of relevant articles, were searched. A total of 209 articles were initially identified, and 16 articles were included in the review. Results The results lend cautious support to the suggestion that all treatments have a positive effect on quality of life, regardless of type, whilst wound status also appears to be an important factor. Conclusions Some evidence suggests that surgical treatment methods may lead to greater improvements in patients’ quality of life than compression bandaging alone; however, future research may focus on the psychological mechanisms underlying such changes.

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