title: [Surgical options in the treatment of chronic venous ulcers].
abstract: Surgery offers several options in prevention of chronic venous insufficiency and its sequelae. Both the operation on veins with valve dysfunction to reduce reflux and the elimination of obstruction in thrombosed veins aim for the reduction of venous hypertension. Elevated venous pressure, impairment of cutaneous capillaries and a chronic inflammatory process result in sclerosis of skin and subcutaneous tissue and might proceed to the fascia resulting in a chronic compartment syndrome. Non- healing chronic venous ulcers under conservative therapy for more than three months may be treated by vein-surgery, local wound care therapy like shaving and negative pressure treatment and if necessary by lowering of elevated intracompartimental pressure by fasciotomy or even fasciectomy.
authors.affiliation: Universitätsklinik für Herz- und Gefäßchirurgie, Inselspital, Bern.
authors.forename: Arno
authors.initials: A
authors.lastname: Stellmes
authors.forename: Urs
authors.initials: U
authors.lastname: Derungs
authors.forename: Jürg
authors.initials: J
authors.lastname: Schmidli
authors.forename: Matthias K
authors.initials: MK
authors.lastname: Widmer
mesh_terms: D002908:Chronic Disease; D000071938:Fasciotomy; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D014647:Varicose Ulcer / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*