[Primary surgical operation in the treatment of varicosis of lower limb accompanied by chronic leg ulcer].
OBJECTIVE
Retrospective clinical analysis of primary surgical operation in the treatment of lower limb accompanied by chronic leg ulcer were adopted in this study.


METHODS
From September 1990 to June 1998, there were 31 males and 20 females, aged 68 years in average, the area of ulcer varied from 5 cm x 3 cm to 22 cm x 11 cm. The ligation and strip of saphenous vein, debridement and free skin flap grafting were finished in primary operation.


RESULTS
The skin flaps were survived completely in 50 cases, only 1 case was necrosis partially and healed after changing dressing. Forty-two cases were followed up for 16 months to 9 years (66 months in average), the varicosis and ulcer were healed in 39 cases and only 3 relapsed in ulceration.


CONCLUSIONS
Primary surgical operation in the treatment of varicosis of lower limb accompanied by chronic ulcer is practicable in clinic. The curative efficacy is satisfactory and the operative manipulation is simple.
Zhang
P G
PG
Department of Surgery, First people's Hospital of Shunde, Shunde, Guangdong, P. R. China 528300.
Huang
M G
MG
Huang
B L
BL
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery; D013524:Surgical Flaps; D014647:Varicose Ulcer / Q000601:surgery*