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Bratisl Lek Listy. 2008;109(9):391-5.

Venous leg ulcers--a surgical treatment.

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1
1st Department of Surgery, University Hospital Bratislava, Faculty of Medicine, Comenius University, Bratislava, Slovakia. mcambal@zoznam.sk

Abstract

OBJECTIVE:

To asses the complex anti-reflux treatment of pure venous ulcers on all levels of venous system.

PATIENTS:

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.

RESULTS AND CONCLUSION:

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.

PMID:
19040144
[Indexed for MEDLINE]
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