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Venous ulcers in chronic venous insufficiency: King Khalid University Hospital experience

M M Al-Salman1

  • 1Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

International Angiology : a Journal of the International Union of Angiology
|October 1, 1998
PubMed

Insights

Superficial venous incompetence significantly contributes to venous ulcers. Thoroughly investigating the location and type of venous disease is crucial for effective management and long-term recurrence-free periods.

Area of Science:

  • Vascular Surgery
  • Phlebology
  • Medical Diagnostics

Background:

  • Chronic venous insufficiency (CVI) often presents with challenging venous ulcers.
  • Identifying the precise anatomical location of venous disease is key to effective treatment.

Purpose of the Study:

  • To determine the anatomical location of venous disease in patients with CVI and venous ulcers.
  • To discuss the management strategies for these conditions.

Main Methods:

  • Retrospective study conducted at King Khalid University Hospital.
  • Evaluation of 90 CVI patients (1991-1997) using history, clinical examination, Doppler ultrasound, Duplex, ambulatory venous pressure (AVP), and venography.

Main Results:

  • 57 limbs in 48 patients presented with Stage III venous ulcers.
  • Deep venous system involvement with deep vein thrombosis (DVT) was observed in 15 patients.
  • Venous reflux was present in 33 patients, with 24 showing superficial system reflux and 9 showing deep system reflux.

Conclusions:

  • Superficial venous incompetence is a major factor in the formation of venous ulcers.
  • Thorough investigation of venous disease location and type is essential.
  • Surgical excision of the superficial system can lead to long-term recurrence-free periods.
Abstract

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