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Updated: Sep 23, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
[Venous ulcus cruris-Surgical treatment]
Benjamin Juntermanns1,2, Knut Kröger3, Peter Waldhausen4,3
1MVZ für Gefäßmedizin Krefeld, Luisenplatz 6-8, 47799, Krefeld, Deutschland. benjamin.juntermanns@helios-gesundheit.de.
Venous ulcus cruris, a chronic condition caused by venous insufficiency, affects 400,000 in Germany and requires treatment. Spontaneous healing is unlikely, necessitating interventions like compression therapy or surgery.
Area of Science:
- Vascular Surgery
- Dermatology
- Wound Healing
Background:
- Venous ulcus cruris is a chronic condition causing significant patient burden.
- An estimated 400,000 individuals in Germany are affected.
- It is invariably linked to underlying chronic venous insufficiency (CVI).
Purpose of the Study:
- To outline the current understanding and treatment strategies for venous ulcus cruris.
- To emphasize the chronic nature and management challenges of this condition.
Main Methods:
- Review of conservative treatment modalities including compression therapy and exudate management.
- Description of surgical interventions: open or endovenous ablation for venous reflux, ulcer surgery, fascia surgery, and reconstructive techniques like negative pressure wound therapy and skin grafting.
Main Results:
- Venous ulcus cruris does not spontaneously heal without intervention.
- Effective management requires addressing the underlying CVI and wound care.
- Treatment encompasses both conservative and surgical approaches.
Conclusions:
- Venous ulcus cruris management is complex, requiring a multi-faceted approach.
- Addressing chronic venous insufficiency is crucial for successful treatment outcomes.
- Comprehensive treatment plans integrate conservative measures with advanced surgical techniques.
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