Venous leg ulcers--a surgical treatment.
OBJECTIVE
To asses the complex anti-reflux treatment of pure venous ulcers on all levels of venous system.


METHODS
In the last 20 years the authors treated 793 patients with venous ulceration and compared the therapeutic results of 4 groups of patients treated either surgically (Linton+v.v. surgery) or with sclerotherapy (Fegan's technique) combined with the anti-reflux operation on deep veins in torpid ulcerations non responding to superficial and perforators therapy.


CONCLUSIONS
The authors consider a compression sclerotherapy (the Fegan's technique) the easiest and the most effective way of treating patients with venous ulcer. The direct valve repair techniques are appropriate only in non-thrombotic deep vein reflux, which is very rare (4 patients--0.6%). In patients with torpid ulcers, where the compression sclerotherapy failed (4.6%--28 pts), the in situ construction of a new valve could help (Tab. 2, Ref. 19). Full Text (Free, PDF) www.bmj.sk.
Cambal
M
M
1st Department of Surgery, University Hospital Bratislava, Faculty of Medicine, Comenius University, Bratislava, Slovakia. mcambal@zoznam.sk
Labas
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015911:Sclerotherapy; D014647:Varicose Ulcer / Q000601:surgery* / Q000628:therapy