Management of venous ulcers according to their anatomical relationship with varicose veins

被引：3
作者：
Lin, Yun-Nan [1 ]
Hsieh, Tung-Ying [1 ]
Huang, Shu-Hung [1 ]
Liu, Chia-Ming [2 ]
Chang, Kao-Ping [1 ]
Lin, Sin-Daw [1 ]
机构：
[1] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Div Plast & Reconstruct Surg, Dept Surg, 100 Tzyou 1st Rd, Kaohsiung 807, Taiwan
[2] Yuans Gen Hosp, Div Plast & Reconstruct Surg, Dept Surg, Kaohsiung, Taiwan
来源：
PHLEBOLOGY | 2018年 / 33卷 / 01期
关键词：
Anatomy; endoscopic surgery; varicose veins; venous ulceration; RANDOMIZED CONTROLLED-TRIAL; LEG ULCERS; ENDOSCOPIC SURGERY; ULCERATION ESCHAR; RECURRENCE; COMPRESSION; LIPODERMATOSCLEROSIS; INSUFFICIENCY; LIGATION; REFLUX;
D O I：
10.1177/0268355516676124
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background Adequately excising varicose and incompetent perforating veins is necessary for reducing their recurrence rate of venous ulcer. Method In total, 66 venous ulcers (C6) in 1083 legs with primary varicose veins were managed through endoscopic-assisted surgery. In an endoscopic operative view, the nonvaricose, varicose, and incompetent perforating veins were clearly visualized and precisely dissected. The varicose and incompetent perforating veins were divided and completely excised. Result The varicose veins were traced to the base or periphery of the 55 ulcers. Moreover, 89.4% of the ulcers healed within 14 weeks. Kaplan-Meier analysis revealed a five-year recurrence rate of 0.0%, and the satisfaction mean score was 4.6. Conclusion Endoscopic-assisted surgery can be used to radically excise varicose veins complicated with venous ulcers; the surgery yields low recurrence and high satisfaction rates.
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页码：44 / 52
页数：9
相关论文
共 44 条
[1]   Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial [J].
Barwell, JR ;
Davies, CE ;
Deacon, J ;
Harvey, K ;
Minor, J ;
Sassano, A ;
Taylor, M ;
Usher, J ;
Wakely, C ;
Earnshaw, JJ ;
Heather, BP ;
Mitchell, DC ;
Whyman, MR ;
Poskitt, KR .
LANCET, 2004, 363 (9424) :1854-1859
[2]   Role of superficial venous surgery in the treatment of venous ulceration [J].
Bello, M ;
Scriven, M ;
Hartshorne, T ;
Bell, PRF ;
Naylor, AR ;
London, NJM .
BRITISH JOURNAL OF SURGERY, 1999, 86 (06) :755-759
[3]  
Blair SD, 1999, DURABILITY VASCULAR, P263
[4]   VENOUS LIPODERMATOSCLEROSIS - TREATMENT BY FIBRINOLYTIC ENHANCEMENT AND ELASTIC COMPRESSION [J].
BURNAND, K ;
CLEMENSON, G ;
MORLAND, M ;
JARRETT, PEM ;
BROWSE, NL .
BMJ-BRITISH MEDICAL JOURNAL, 1980, 280 (6206) :7-11
[5]   DIAGNOSIS AND SURGERY OF HIGH-PRESSURE VENOUS LEAKS IN THE LEG - A NEW OVERALL CONCEPT OF SURGERY OF VARICOSE VEINS AND VENOUS ULCERS [J].
COCKETT, FB .
BRITISH MEDICAL JOURNAL, 1956, 2 (DEC15) :1399-1403
[6]   VENOUS ULCERATION AND SAPHENOUS LIGATION [J].
DARKE, SG ;
PENFOLD, C .
EUROPEAN JOURNAL OF VASCULAR SURGERY, 1992, 6 (01) :4-9
[7]   RECURRENCE OF VARICOSE-VEINS FOLLOWING SURGERY [J].
ELBAZ, C .
VASCULAR SURGERY, 1989, 23 (02) :90-94
[8]   Mid-term results of endoscopic perforator vein interruption for chronic venous insufficiency: Lessons learned from the North American Subfascial Endoscopic Perforator Surgery registry [J].
Gloviczki, P ;
Bergan, JJ ;
Rhodes, JM ;
Canton, LG ;
Harmsen, S ;
Ilstrup, DM .
JOURNAL OF VASCULAR SURGERY, 1999, 29 (03) :489-499
[9]   Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): randomised controlled trial [J].
Gohel, Manjit S. ;
Barwell, Jamie R. ;
Taylor, Maxine ;
Chant, Terry ;
Foy, Chris ;
Earnshaw, Jonothan J. ;
Heather, Brian P. ;
Mitchell, David C. ;
Whyman, Mark R. ;
Poskitt, Keith R. .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 335 (7610) :83-87
[10]   Colour duplex ultrasonography in the rational management of chronic venous leg ulcers [J].
Grabs, AJ ;
Wakely, MC ;
Nyamekye, I ;
Ghauri, ASK ;
Poskitt, KR .
BRITISH JOURNAL OF SURGERY, 1996, 83 (10) :1380-1382
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