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Surgery of venous leg ulcers
Acta Chirurgica Academiae Scientiarum Hungaricae
|January 1, 1978
Summary
Surgical intervention for varicose (VS) and postthrombotic (PS) syndromes offers superior long-term results compared to conservative therapy alone. This complex approach, combining surgical techniques with conservative care, achieved excellent outcomes in 96% of severe venous failure cases.
Area of Science:
- Vascular Surgery
- Phlebology
- Dermatology
Background:
- Varicose veins (VS) and postthrombotic syndrome (PS) are significant health issues.
- Conservative therapy provides only temporary relief for these conditions.
- Surgical interventions are increasingly explored for effective treatment.
Purpose of the Study:
- To review surgical treatment methods for VS and PS.
- To describe an adequate surgical procedure for chronic venous failure.
- To evaluate the efficacy of a complex therapeutic approach.
Main Methods:
- Phlebography to assess deep vein function.
- Extirpation of the superficial venous system (Trendelenburg, Madelung, Babcock).
- Ligation of insufficient perforators, deep ulcer excision, and skin grafting.
- Integration of preoperative and postoperative conservative management.
Main Results:
- The complex therapy was applied to 112 severe cases of venous failure.
- Excellent results were achieved in 96% of patients.
- Adequate results were observed in 3%, and poor results in 1%.
Conclusions:
- A correct diagnosis and precise surgical execution are crucial for successful chronic venous failure treatment.
- This surgical approach, combined with conservative care, yields highly effective outcomes.
- Proper patient care is essential for guaranteeing favorable results.