[Shave therapy for surgical treatment of persistent venous ulcer with large superficial dermatoliposclerosis].
Ulcers in chronic venous insufficiency, especially in postthrombotic syndrome, are often resistant to compression therapy. They can be treated effectively by the dermatologic surgeon with a fairly simple operative procedure. The removal of the ulcer together with the extensive lipodermatosclerosis by Humby knife (shave-therapy) and immediate grafting with a meshed split skin graft-possibly in combination with ligation of insufficient perforator veins-yields very good success rates. The results in 13 patients (18 legs) with an average follow up period of 11 months (up to 20 months) are reported.
Schmeller
W
W
Klinik für Dermatologie und Venerologie, Medizinische Universität zu Lübeck.
Roszinski
S
S
D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008068:Lipomatosis / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D011186:Postphlebitic Syndrome / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D012039:Regional Blood Flow / Q000502:physiology; D012086:Reoperation; D012594:Scleroderma, Localized / Q000473:pathology / Q000601:surgery*; D012867:Skin / Q000098:blood supply / Q000473:pathology; D016038:Skin Transplantation / Q000473:pathology; D013525:Surgical Instruments; D014647:Varicose Ulcer / Q000473:pathology / Q000601:surgery*