Shave therapy for non-healing venous trophic ulcers

Venous trophic ulcers comprise an important social and medical problem. Conventional therapy includes initial healing of ulceration with consequent surgical intervention. Persistent or recurrent venous ulcers elicit irreversible changes in skin, subcutaneous fat and fasciae making impossible complete success of standard autodermoplasty. We present our experience in shave therapy with autodermoplasty and simultaneous correction of hemodynamic disturbances for this cohort of patients. Study results have demonstrated that in patients with chronic venous trophic ulcers and manifested lipodermatofasciosclerosis shave therapy suggests an optimal volume of intervention.