Additional follow-up with microvascular transfer in the treatment of chronic venous stasis ulcers.
Nine patients presented with non-healing venous ulcers of the lower limb. All had failed both non-surgical and surgical therapies. Following wide wound excision, perforator ligation, and microsurgical reconstruction, all wounds were healed. In two instances, separation at the flap/wound perimeter interface occurred and required additional dressing care to obtain wound closure. This was probably the result of incomplete excision of surrounding liposclerotic soft tissue. At 26 postoperative months, all wounds remained healed. Microsurgical transfer for properly selected patients can achieve healing of recalcitrant venous wounds, both over the intermediate and long term.
Isenberg
J S
JS
Department of Immunology and Cancer, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma, USA.
D000368:Aged; D000714:Anastomosis, Surgical; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D016896:Treatment Outcome; D014647:Varicose Ulcer / Q000601:surgery*; D014945:Wound Healing