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Autogenous venous valve construction.

P Labas1, M Cambal

  • 1First Department of Surgery, University Hospital Bratislava, Bratislava, Slovak Republic. peterlabas@hotmail.com

International Angiology : a Journal of the International Union of Angiology
|April 16, 2009
PubMed
Summary
This summary is machine-generated.

This study shows that a new antireflux operation for deep vein reflux effectively heals venous ulcers unresponsive to other treatments. The procedure offers a high healing rate with manageable recurrence, improving venous ulcer outcomes.

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Area of Science:

  • Vascular Surgery
  • Phlebology
  • Wound Healing

Background:

  • Venous ulceration often presents challenges in treatment, particularly when superficial system therapies and compression fail.
  • Deep venous system reflux is a significant factor in refractory venous ulcers.

Purpose of the Study:

  • To evaluate the efficacy of a novel antireflux operation targeting the deep venous system for patients with non-healing venous ulcers.
  • To assess the impact of this combined approach on ulcer healing and recurrence rates.

Main Methods:

  • A cohort of 56 patients with non-responsive venous ulcers and deep venous reflux underwent Fegan's technique.
  • This technique combines compression sclerotherapy with deep vein antireflux surgery.

Main Results:

  • A high healing rate of 95.4% (53 out of 56 ulcers) was achieved, with complete epithelialization in an average of 39 days.
  • A 5-year follow-up revealed an 18% recurrence rate, with 70% of recurrent ulcers healing with compression sclerotherapy.

Conclusions:

  • In situ valvuloplasty offers advantages including autogenous tissue use and native endothelium, reducing thrombosis risk.
  • This technique creates a competent bicuspid valve matched to the host vein, providing an effective antireflux solution.