Related Experiment Video
Updated: Aug 13, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
[Surgical management of varicose ulcers]
Insights
Chronic venous leg ulcers are common and costly. Surgical intervention, including vein stripping and ligation, effectively heals 95.5% of patients, resolving the underlying causes of venous leg ulcers.
Area of Science:
- Vascular Surgery
- Dermatology
- Public Health
Context:
- Chronic venous leg ulcers represent a significant health burden in Europe.
- Current treatments are often long-term, expensive, and may not resolve underlying pathology.
- Surgical options offer a potential solution to improve patient outcomes.
Purpose:
- To evaluate the efficacy of a surgical procedure for chronic venous leg ulcers.
- To assess the healing rates and recurrence prevention associated with the surgical intervention.
Summary:
- A surgical approach involving saphenous vein stripping/crossectomy and subfascial ligation of perforators was performed on 22 patients.
- This two-phase operation addresses the root causes and consequences of venous leg ulcers.
- A high healing rate of 95.5% (21 out of 22 patients) was achieved within a 3-year period.
Impact:
- The surgical procedure significantly shortens therapy duration compared to conservative methods.
- This intervention effectively prevents ulcer recurrence by resolving the etiological factors.
- The findings suggest a cost-effective and highly successful treatment for chronic venous leg ulcers.
Abstract:
One of the most often diseases of the European population is the venous chronic leg ulcer. It requires a long-term and expensive therapy. Basic elements of the therapy are elastic banding of the leg, diuretics, antibiotics and local treatment. In some cases a profit can be acquired from surgical procedure, which includes the stripping and/or crossectomy of the saphenous vein or the subfascial ligation of insufficient perforators and skin grafting (two phases operation). This procedure shorts the time of therapy and prevents the ulcer recurrence, because it resolves the reason and the results of the disease. We present 22 patients treated by this cure during the last 3 years at our surgery department of the 3rd faculty of medicine Charles University in Prague. 21 patients (95.5%) are healed.
Related Concept Videos
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Venous Thrombosis III: Interprofessional Care
Peripheral Artery Disease V: Postoperative Nursing Management

