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Related Concept Videos

Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...

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Related Experiment Video

Updated: May 21, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Compression and venous surgery for venous leg ulcers.

Giovanni Mosti1

  • 1Angiology Department, Clinica MD Barbantini, Via del Calcio 2, 5510 Lucca, Italy. jmosti@tin.it

Clinics in Plastic Surgery
|June 27, 2012
PubMed
Summary

Surgery and compression therapy offer similar venous ulcer healing rates. However, surgical interventions are more effective in preventing ulcer recurrence, addressing underlying venous hypertension.

Area of Science:

  • Vascular Surgery
  • Dermatology
  • Phlebology

Background:

  • Venous leg ulcers are common, often stemming from venous ambulatory hypertension due to reflux or impaired venous pumping.
  • Effective treatment strategies are crucial for healing and preventing recurrence.

Purpose of the Study:

  • To review published data on surgical and compression therapy for venous ulcers.
  • To compare the effectiveness of surgery versus compression in healing and recurrence prevention.
  • To discuss various surgical and conservative treatment options.

Main Methods:

  • Review of randomized controlled studies and published data.
  • Analysis of surgical interventions including ligation, stripping, perforator interruption, and endovascular procedures (laser, radiofrequency).

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  • Evaluation of conservative treatments like foam sclerotherapy and hemodynamic management.

    • Main Results:

    • Surgery and compression therapy demonstrate comparable effectiveness in healing venous ulcers.
    • Surgical treatments show superior efficacy in preventing the recurrence of venous ulcers.
    • A range of surgical and conservative options exist for managing venous leg ulcers.

    Conclusions:

    • While both approaches heal ulcers, surgery offers better long-term prevention of recurrence.
    • Treatment choice should consider ulcer healing and recurrence prevention.
    • Various surgical and conservative methods are available for venous ulcer management.