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Published on: November 21, 2009
[Para-tibial fasciotomy]
1Kreiskrankenhaus, Gefässchirurgische Klinik, Leonberg.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1992
Summary
Paratibial fasciotomy effectively treats large venous ulcers in patients with chronic deep venous insufficiency. This surgical approach demonstrated a 0.0% mortality rate and high healing rates, making it a preferred option after conservative treatments fail.
Area of Science:
- Vascular Surgery
- Dermatology
- Phlebology
Background:
- Chronic venous insufficiency (CVI) often leads to large, debilitating venous ulcers.
- Conservative treatments for advanced CVI (stage III) can be insufficient.
- Surgical intervention is considered when conservative measures fail.
Purpose of the Study:
- To evaluate the efficacy and safety of paratibial fasciotomy combined with perforating vein dissection for treating large venous ulcers.
- To determine the outcomes of this surgical approach in patients with stage III CVI.
Main Methods:
- A cohort of fifty patients with large venous ulcers underwent surgical treatment.
- The procedure involved paratibial fasciotomy and dissection of incompetent perforating veins.
- Follow-up assessed ulcer healing, recurrence, and complications.
Main Results:
- The operative mortality rate was 0.0%.
- One significant complication (hematoma) necessitated a secondary procedure.
- Forty-eight ulcers (96%) achieved complete healing within 8 weeks.
- Two cases experienced ulcer recurrence, though healing was achieved with conservative management.
Conclusions:
- Paratibial fasciotomy with perforating vein dissection is a safe and highly effective treatment for large venous ulcers in stage III CVI.
- It represents a valuable surgical option for patients unresponsive to conservative therapies.
- The procedure offers a high success rate for healing chronic venous ulcers.
