title: Deep venous reconstructive surgery.
abstract: Surgical correction of deep venous reflux is a valuable adjunct in treatment of selected patient with lower limb venous ulcer. Deep venous obstruction and superficial reflux is must be corrected first. Sustained venous ulcer healing and reduced ambulatory venous hypertension can be achieved in patients with both primary and secondary deep venous insufficiency. When direct valve repair is possible, valvuloplasty is the best option, but when this is not feasible, other techniques can be used, including femoral vein transposition into the great saphenous vein, vein valve transplant, neovalve construction, or nonautologous artificial venous valve.
authors.affiliation: Department of CardioVascular Surgery, Hesperia Hospital, Modena, Italy. Electronic address: maleti@chirurgiavascolaremodena.it.
authors.forename: Oscar
authors.initials: O
authors.lastname: Maleti
authors.affiliation: Department of CardioVascular Surgery, Hesperia Hospital, Modena, Italy.
authors.forename: Marzia
authors.initials: M
authors.lastname: Lugli
authors.affiliation: Narayana Institute of Vascular Sciences, Bangalore, India.
authors.forename: Ramesh K
authors.initials: RK
authors.lastname: Tripathi
mesh_terms: D057510:Endovascular Procedures / Q000379:methods; D005260:Female; D005268:Femoral Vein / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012501:Saphenous Vein / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000379:methods*; D014689:Venous Insufficiency / Q000503:physiopathology* / Q000601:surgery*; D020246:Venous Thrombosis / Q000503:physiopathology / Q000601:surgery*