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[Treatment of post-phlebitic syndrome]
G Perilli1, P Scioscia, L Ferretti
1Servizio di Flebologia Chirurgica, A.S.L. RM C - Ospedale S. Eugenio, Roma.
Il Giornale Di Chirurgia
|September 12, 1998
Summary
This study details a three-part treatment for post-phlebitic syndrome ulcers. The approach combines medical therapy, vein stripping, and fascia removal to manage chronic venous insufficiency and improve healing outcomes.
Area of Science:
- Vascular Surgery
- Dermatology
- Phlebology
Context:
- Post-phlebitic syndrome (PPS) is a chronic complication following deep vein thrombosis (DVT).
- Ulceration represents an advanced and debilitating stage of PPS, significantly impacting patient quality of life.
- Current management strategies for PPS ulcers often involve a multimodal approach.
Purpose:
- To describe a comprehensive therapeutic strategy for managing post-phlebitic syndrome at the ulceration stage.
- To present a novel technique for addressing hypodermitis associated with PPS.
- To consolidate the long-term efficacy of surgical interventions in preventing ulcer recurrence.
Summary:
- The reported therapy integrates initial medical management with subsequent surgical interventions.
- Key surgical steps include saphenous vein stripping and ligation of incompetent perforating veins to improve venous hemodynamics.
- A unique surgical technique for removing fascial plugs is employed to treat associated hypodermitis.
Impact:
- This integrated approach aims to achieve durable ulcer healing and reduce the recurrence rate in patients with severe PPS.
- The described techniques offer potential for improved outcomes in managing complex venous ulcers.
- Successful management of hypodermitis may prevent further complications and enhance limb salvage.