[Local surgical therapy of venous leg ulcers].
Leg ulcer is a polyaetiologic condition the successful treatment of which is decisively influenced by correct diagnosis of the underlying cause. About 76% of leg ulcer cases are due to chronic venous insufficiency. Nonhealing venous leg ulcers are the domain of local surgical therapy with a variety of symptomatic and causal surgical methods. Shave therapy is the treatment of choice, with relatively low invasiveness and good long-term results. Today subfascial endoscopic perforator vein surgery and the surgical treatment of fascia cruris (fasciotomy, fasciectomy) are used rarely but increasingly indicated. Long-lasting healing is decisively influenced by thorough follow-up treatment with complex physical compression treatment and exercises following the surgical treatment of nonhealing venous leg ulcers.
Stein
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Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstrasse 74, 01307 Dresden. Annette.Stein@uniklinikum-dresden.de
Hackert
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D003646:Debridement / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D005858:Germany; D006801:Humans; D007866:Leg; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D014647:Varicose Ulcer / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
J Vasc Surg. 1995 Apr;21(4):635-45
7707568
J Dtsch Dermatol Ges. 2006 Aug;4(8):627-34
16895564
Hautarzt. 2003 Apr;54(4):379-86; quiz 387-8
12669219
Hautarzt. 2003 Aug;54(8):750-5
12942189
Dermatol Surg. 2001 Jan;27(1):58-60
11231246
J Vasc Surg. 2001 May;33(5):1028-32
11331845
Eur J Vasc Endovasc Surg. 2005 Apr;29(4):433-9
15776398
Wound Repair Regen. 2003 Jul-Aug;11(4):248-52
12846911
J Vasc Surg. 2005 Dec;42(6):1156-62
16376208