[Dermatoplasty in treating trophic ulcers of the lower extremities]

The main principle of the surgical treatment of trophic ulcers of the lower extremities consists in a radical excision of all the pathologically changed tissues around the ulcer and under it and, in case of disorders of the venous reflux, in various surgical restorative and corrective interventions followed with plastic closure of the wound defect. 422 patients were operated upon (462 operations). The choice of the radical method of treatment resulted in a stable healing of ulcers in 84% of cases.