title: [Local surgical therapy of venous leg ulcers].
abstract: 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.
authors: Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstrasse 74, 01307 Dresden. Annette.Stein@uniklinikum-dresden.de
authors: A
authors: A
authors: Stein
authors: I
authors: I
authors: Hackert
mesh_terms: 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*
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