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Eur J Vasc Endovasc Surg. 2003 Apr;25(4):313-8.

Minimally invasive surgical management of primary venous ulcers vs. compression treatment: a randomized clinical trial.

Author information

1
Department of Surgical, Anaesthesiological, and Radiological Sciences, Day-Surgery Unit, University of Ferrara, Italy.

Erratum in

  • Eur J Vasc Endovasc Surg. 2003 Sep;26(3):337-8.

Abstract

OBJECTIVES:

to compare minimally invasive surgical haemodynamic correction of reflux (CHIVA) with compression in the treatment of venous ulceration.

DESIGN:

prospective randomised study.

MATERIALS AND METHODS:

from a cohort of 80 patients with 87 venous leg ulcers, 47 were randomised to either surgery or compression.

RESULTS:

at a mean follow-up of 3 years, healing was 100% (31 days) in the surgical and 96% (63 days), in the compression group (p<0.02). The recurrence rate was 9% in the surgical and 38% in the compression group (p<0.05). In the surgical group, all plethysmographic parameters except ejection fraction, had improved significantly at 6 months in the surgical group, and at 3 years residual volume fraction remained in the normal range. Finally, quality of life significantly improved in the operated group.

CONCLUSIONS:

this study supports the effectiveness of surgical therapy for leg ulceration secondary to superficial venous reflux.

PMID:
12651168
DOI:
10.1053/ejvs.2002.1871
[Indexed for MEDLINE]
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