[The Edward method of subfascial resection in communicating vein insufficiency in the calf]

The purpose of this study was to identify the operative method that gives the best immediate and remote results. The study includes: a retrospective study, a prospective study and remote results. In the retrospective and prospective studies the immediate complication and the results of surgical treatment were evaluated. The total number of immediate complications amounts to 30% and the least of them has Edwards section (3.8%). The best immediate results have been achieved by Edwards method, too (the curing rate of insufficient perforating veins and varix is 93.3%, and of insufficient perforating veins and ulcer is 90.9%). The best remote results have been established at the subfascial section, combined with stripping of insufficient superficial veins and extirpation of varix (the curing rate at 71.4%). This operative procedure can be considered as a selective method in surgical treatment of blood reflux through insufficient perforating veins, and particularly in those regions of the calf characterised by strong indurative and sclerotic changes, as well as by cured and fresh ulcers.